| Supertooth at Kentlands | |
|
237 Kentlands Blvd Gaithersburg MD 20878-5446 | |
| (301) 987-5200 | |
| Not Available |
| Full Name | Supertooth at Kentlands |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 237 Kentlands Blvd, Gaithersburg, Maryland |
| Authorized Official Name and Position | Ben Manesh (DENTIST) |
| Authorized Official Contact | 3019875200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Supertooth at Kentlands 237 Kentlands Blvd Gaithersburg MD 20878-5446 | Supertooth at Kentlands 237 Kentlands Blvd Gaithersburg MD 20878-5446 Ph: (301) 987-5200 |
| NPI Number | 1588207914 |
|---|---|
| Provider Enumeration Date | 10/17/2019 |
| Last Update Date | 06/22/2026 |
| Certification Date | 06/22/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588207914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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