| Good Neighbor Dental | |
|
12051 Chestnut Branch Way Ste C3 Clarksburg MD 20871-5328 | |
| (301) 355-4789 | |
| Not Available |
| Full Name | Good Neighbor Dental |
|---|---|
| Speciality | Dentist |
| Location | 12051 Chestnut Branch Way Ste C3, Clarksburg, Maryland |
| Authorized Official Name and Position | Kyu J Lee (DENTIST) |
| Authorized Official Contact | 3013554789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Neighbor Dental 12051 Chestnut Branch Way Ste C3 Clarksburg MD 20871-5328 Ph: (301) 355-4789 | Good Neighbor Dental 12051 Chestnut Branch Way Ste C3 Clarksburg MD 20871-5328 Ph: (301) 355-4789 |
| NPI Number | 1417350281 |
|---|---|
| Provider Enumeration Date | 10/07/2014 |
| Last Update Date | 10/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417350281 | NPI | - | NPPES |
| 1124216593 | Other | INDIVIDUAL NPI | |
| 1205123346 | Other | INDIVIDUAL NPI | |
| 1467642181 | Other | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 15618 (Maryland) | Primary |
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