Olympus Dental Llc | |
19231 Montgomery Village Ave Suite D12 Gaithersburg MD 20886-5023 | |
(240) 780-7002 | |
(240) 780-7022 |
Full Name | Olympus Dental Llc |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 19231 Montgomery Village Ave, Gaithersburg, Maryland |
Authorized Official Name and Position | Naveen Kwatra (PRESIDENT/OWNER) |
Authorized Official Contact | 2407807002 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Olympus Dental Llc 19231 Montgomery Village Ave Suite D12 Gaithersburg MD 20886-5023 Ph: (240) 780-7002 | Olympus Dental Llc 19231 Montgomery Village Ave Suite D12 Gaithersburg MD 20886-5023 Ph: (240) 780-7002 |
NPI Number | 1114344843 |
---|---|
Provider Enumeration Date | 03/19/2014 |
Last Update Date | 10/06/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114344843 | NPI | - | NPPES |
013988200 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
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