| Cosmetic and Implant Dental Center | |
|
803 Russell Ave Ste 2c Gaithersburg MD 20879-3584 | |
| (301) 948-4378 | |
| (301) 869-7789 |
| Full Name | Cosmetic and Implant Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 803 Russell Ave Ste 2c, Gaithersburg, Maryland |
| Authorized Official Name and Position | Patrick Lee (OWNER) |
| Authorized Official Contact | 3019484378 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cosmetic and Implant Dental Center 803 Russell Ave Ste 2c Gaithersburg MD 20879-3584 Ph: (301) 948-4378 | Cosmetic and Implant Dental Center 803 Russell Ave Ste 2c Gaithersburg MD 20879-3584 Ph: (301) 948-4378 |
| NPI Number | 1518575414 |
|---|---|
| Provider Enumeration Date | 07/16/2020 |
| Last Update Date | 07/16/2020 |
| Certification Date | 07/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518575414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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