| Three Creek Dentistry, Llc | |
|
7236 Muncaster Mill Rd Derwood MD 20855-1215 | |
| (703) 474-5695 | |
| Not Available |
| Full Name | Three Creek Dentistry, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7236 Muncaster Mill Rd, Derwood, Maryland |
| Authorized Official Name and Position | Vinh Chi Trinh (OWNER) |
| Authorized Official Contact | 7034745695 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Three Creek Dentistry, Llc 3409 Wilson Blvd Unit 803 Arlington VA 22201-2246 Ph: () - | Three Creek Dentistry, Llc 7236 Muncaster Mill Rd Derwood MD 20855-1215 Ph: (703) 474-5695 |
| NPI Number | 1174043939 |
|---|---|
| Provider Enumeration Date | 06/22/2017 |
| Last Update Date | 06/22/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174043939 | NPI | - | NPPES |
| 1861805202 | Other | VA | NPI |
| 1770995243 | Other | VA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 16285 (Maryland) | Secondary |
| 261QD0000X | Clinic/center - Dental | 16219 (Maryland) | Primary |