| Marlborough Village Orthodontics | |
|
5098 Brown Station Road Suite 260 Upper Marlboro MD 20772 | |
| (240) 326-3738 | |
| Not Available |
| Full Name | Marlborough Village Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 5098 Brown Station Road Suite 260, Upper Marlboro, Maryland |
| Authorized Official Name and Position | Adrian Johnston Wilson (DENTIST/OWNER) |
| Authorized Official Contact | 4432800968 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marlborough Village Orthodontics 14300 Ridge View Lane Laurel MD 20707 Ph: (443) 280-0968 | Marlborough Village Orthodontics 5098 Brown Station Road Suite 260 Upper Marlboro MD 20772 Ph: (240) 326-3738 |
| NPI Number | 1720700669 |
|---|---|
| Provider Enumeration Date | 09/16/2022 |
| Last Update Date | 09/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720700669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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