| Dentaquest Virginia, Inc. | |
|
4061 Powder Mill Rd Suite 325 Calverton MD 20705-3149 | |
| (617) 886-1818 | |
| Not Available |
| Full Name | Dentaquest Virginia, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 4061 Powder Mill Rd, Calverton, Maryland |
| Authorized Official Name and Position | Steven J. Pollock (PRESIDENT) |
| Authorized Official Contact | 6178861568 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentaquest Virginia, Inc. 465 Medford St Boston MA 02129-1426 Ph: (617) 886-1818 | Dentaquest Virginia, Inc. 4061 Powder Mill Rd Suite 325 Calverton MD 20705-3149 Ph: (617) 886-1818 |
| NPI Number | 1801138789 |
|---|---|
| Provider Enumeration Date | 03/19/2013 |
| Last Update Date | 03/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801138789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Dentaquest Mid-atlantic, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4061 Powder Mill Rd, Suite 325, Calverton, MD 20705 Phone: 617-886-1818 |