| Prp Dental LLC | |
|
1522 Pointer Ridge Pl Ste E Bowie MD 20716-1875 | |
| (301) 249-1102 | |
| (301) 249-3258 |
| Full Name | Prp Dental LLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1522 Pointer Ridge Pl Ste E, Bowie, Maryland |
| Authorized Official Name and Position | Shila Yazdani (CEO) |
| Authorized Official Contact | 2026691572 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prp Dental LLC 1522 Pointer Ridge Pl Ste E Bowie MD 20716-1875 Ph: (301) 249-1102 | Prp Dental LLC 1522 Pointer Ridge Pl Ste E Bowie MD 20716-1875 Ph: (301) 249-1102 |
| NPI Number | 1497337125 |
|---|---|
| Provider Enumeration Date | 04/22/2021 |
| Last Update Date | 04/22/2021 |
| Certification Date | 04/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497337125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
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