The Maryland Oral Surgery Group | |
9632 Pennsylvania Ave Upper Marlboro MD 20772-3670 | |
(240) 478-7030 | |
Not Available |
Full Name | The Maryland Oral Surgery Group |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 9632 Pennsylvania Ave, Upper Marlboro, Maryland |
Authorized Official Name and Position | Sharon Sherise Russell (ORAL SURGEON) |
Authorized Official Contact | 2404787030 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
The Maryland Oral Surgery Group 3305 Old Largo Rd Upper Marlboro MD 20772-7811 Ph: (240) 478-7030 | The Maryland Oral Surgery Group 9632 Pennsylvania Ave Upper Marlboro MD 20772-3670 Ph: (240) 478-7030 |
NPI Number | 1689930919 |
---|---|
Provider Enumeration Date | 04/11/2012 |
Last Update Date | 04/11/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689930919 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 14351 (Maryland) | Primary |
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