| Sunrise Oral Surgery, Llc | |
|
16069 Comprint Cir Gaithersburg MD 20877-1321 | |
| (301) 762-0062 | |
| (301) 762-9110 |
| Full Name | Sunrise Oral Surgery, Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 16069 Comprint Cir, Gaithersburg, Maryland |
| Authorized Official Name and Position | Max Mccusker (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 9495212757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Oral Surgery, Llc 285 W 530 N Vineyard UT 84059-4817 Ph: (949) 521-2757 | Sunrise Oral Surgery, Llc 16069 Comprint Cir Gaithersburg MD 20877-1321 Ph: (301) 762-0062 |
| NPI Number | 1013773001 |
|---|---|
| Provider Enumeration Date | 02/27/2024 |
| Last Update Date | 02/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013773001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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