| Clarksburg Dental Care | |
|
12051 Chestnut Branch Way Ste C3 Clarksburg MD 20871-5328 | |
| (301) 355-4789 | |
| Not Available |
| Full Name | Clarksburg Dental Care |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12051 Chestnut Branch Way Ste C3, Clarksburg, Maryland |
| Authorized Official Name and Position | Sanjar Khodjaev (OWNER) |
| Authorized Official Contact | 7035059340 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarksburg Dental Care 12051 Chestnut Branch Way Ste C3 Clarksburg MD 20871-5328 Ph: (301) 355-4789 | Clarksburg Dental Care 12051 Chestnut Branch Way Ste C3 Clarksburg MD 20871-5328 Ph: (301) 355-4789 |
| NPI Number | 1689381287 |
|---|---|
| Provider Enumeration Date | 11/02/2022 |
| Last Update Date | 01/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689381287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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Clarksburg Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 23212 Brewers Tavern Way, Clarksburg, MD 20871 Phone: 301-515-5525 |