| Dental Galleria Of Beautiful Smiles Pc | |
|
8737 Colesville Rd Suite Ll105 Silver Spring MD 20910-3928 | |
| (301) 588-3083 | |
| (301) 588-3084 |
| Full Name | Dental Galleria Of Beautiful Smiles Pc |
|---|---|
| Speciality | Dentist |
| Location | 8737 Colesville Rd, Silver Spring, Maryland |
| Authorized Official Name and Position | Johnette Brock (PRESIDENT) |
| Authorized Official Contact | 3015883083 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Galleria Of Beautiful Smiles Pc 8737 Colesville Rd Suite Ll105 Silver Spring MD 20910-3928 Ph: (301) 588-3083 | Dental Galleria Of Beautiful Smiles Pc 8737 Colesville Rd Suite Ll105 Silver Spring MD 20910-3928 Ph: (301) 588-3083 |
| NPI Number | 1063685345 |
|---|---|
| Provider Enumeration Date | 04/08/2008 |
| Last Update Date | 04/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063685345 | NPI | - | NPPES |
| 011819200 | Medicaid | MD | |
| 039279700 | Medicaid | DC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12758 (Maryland) | Primary |
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