Maryland Oral Surgery Associates, Llc | |
2401 Brandermill Blvd. Suite 320 Gambrills MD 21054 | |
(410) 721-0700 | |
(410) 721-5459 |
Full Name | Maryland Oral Surgery Associates, Llc |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 2401 Brandermill Blvd., Gambrills, Maryland |
Authorized Official Name and Position | Glenn A. Nathan (PRESIDENT) |
Authorized Official Contact | 3013406884 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Maryland Oral Surgery Associates, Llc 14955 Shady Grove Road Suite 350 Rockville MD 20850-8700 Ph: (301) 340-6884 | Maryland Oral Surgery Associates, Llc 2401 Brandermill Blvd. Suite 320 Gambrills MD 21054 Ph: (410) 721-0700 |
NPI Number | 1033531280 |
---|---|
Provider Enumeration Date | 01/07/2014 |
Last Update Date | 08/08/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033531280 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 12859 (Maryland) | Primary |
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