| Spa Orthodontics | |
|
10750 Columbia Pike Ste 300 Silver Spring MD 20901-4453 | |
| (301) 708-3012 | |
| Not Available |
| Full Name | Spa Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 10750 Columbia Pike Ste 300, Silver Spring, Maryland |
| Authorized Official Name and Position | Sana P Augustus (OWNER/ORTHODONTIST) |
| Authorized Official Contact | 3017083012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spa Orthodontics 10750 Columbia Pike Ste 300 Silver Spring MD 20901-4453 Ph: (301) 708-3012 | Spa Orthodontics 10750 Columbia Pike Ste 300 Silver Spring MD 20901-4453 Ph: (301) 708-3012 |
| NPI Number | 1215625371 |
|---|---|
| Provider Enumeration Date | 04/26/2023 |
| Last Update Date | 04/26/2023 |
| Certification Date | 04/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215625371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | () | Primary |
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