| The Maryland Oral Surgery Group | |
|
9632 Marlboro Pike Melwood Professional Center Upper Marlboro MD 20772-3670 | |
| (240) 320-7331 | |
| Not Available |
| Full Name | The Maryland Oral Surgery Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9632 Marlboro Pike, Upper Marlboro, Maryland |
| Authorized Official Name and Position | Mark Russell (COO) |
| Authorized Official Contact | 2403207331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Maryland Oral Surgery Group 9632 Marlboro Pike Melwood Professional Center Upper Marlboro MD 20772-3670 Ph: (240) 320-7331 | The Maryland Oral Surgery Group 9632 Marlboro Pike Melwood Professional Center Upper Marlboro MD 20772-3670 Ph: (240) 320-7331 |
| NPI Number | 1386073054 |
|---|---|
| Provider Enumeration Date | 11/04/2013 |
| Last Update Date | 11/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386073054 | NPI | - | NPPES |
| 14351 | Medicaid | MD |
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