| Southern Maryland Orthodontic Studio Llc | |
|
5020 Brown Station Rd Ste 130 Upper Marlboro MD 20772-9107 | |
| (301) 327-1223 | |
| Not Available |
| Full Name | Southern Maryland Orthodontic Studio Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 5020 Brown Station Rd Ste 130, Upper Marlboro, Maryland |
| Authorized Official Name and Position | Brandon Hagan (ORTHODONTIST) |
| Authorized Official Contact | 5028217651 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Maryland Orthodontic Studio Llc 205 V St Nw Apt 301 Washington DC 20001-5779 Ph: () - | Southern Maryland Orthodontic Studio Llc 5020 Brown Station Rd Ste 130 Upper Marlboro MD 20772-9107 Ph: (301) 327-1223 |
| NPI Number | 1154253672 |
|---|---|
| Provider Enumeration Date | 06/01/2026 |
| Last Update Date | 06/01/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154253672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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