| North Potomac Dental Studio | |
|
211 Market St W Gaithersburg MD 20878-6428 | |
| (301) 963-6300 | |
| Not Available |
| Full Name | North Potomac Dental Studio |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 211 Market St W, Gaithersburg, Maryland |
| Authorized Official Name and Position | Ernest Ponraj (DENTIST) |
| Authorized Official Contact | 3019636300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Potomac Dental Studio 211 Market St W Gaithersburg MD 20878-6428 Ph: (301) 963-6300 | North Potomac Dental Studio 211 Market St W Gaithersburg MD 20878-6428 Ph: (301) 963-6300 |
| NPI Number | 1447769302 |
|---|---|
| Provider Enumeration Date | 09/22/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447769302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 14719 (Maryland) | Primary |
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