| Omfs Md, P.a. | |
|
77 S Washington St Ste 205 Rockville MD 20850-2331 | |
| (301) 294-8700 | |
| (301) 294-9007 |
| Full Name | Omfs Md, P.a. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 77 S Washington St Ste 205, Rockville, Maryland |
| Authorized Official Name and Position | Sivakumar Sreenivasan (OWNER) |
| Authorized Official Contact | 3012948700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Omfs Md, P.a. 77 S Washington St Ste 205 Rockville MD 20850-2331 Ph: (301) 294-8700 | Omfs Md, P.a. 77 S Washington St Ste 205 Rockville MD 20850-2331 Ph: (301) 294-8700 |
| NPI Number | 1689065294 |
|---|---|
| Provider Enumeration Date | 02/18/2015 |
| Last Update Date | 02/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689065294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 12242 (Maryland) | Primary |
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