| TJ Orthodontics | |
|
198 Thomas Johnson Dr Ste 103 Frederick MD 21702-4432 | |
| (301) 620-9666 | |
| (301) 620-9739 |
| Full Name | TJ Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 198 Thomas Johnson Dr Ste 103, Frederick, Maryland |
| Authorized Official Name and Position | Paul Thomopulos (OWNER/ DENTIST) |
| Authorized Official Contact | 3016209666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| TJ Orthodontics 198 Thomas Johnson Dr Ste 103 Frederick MD 21702-4432 Ph: (301) 620-9666 | TJ Orthodontics 198 Thomas Johnson Dr Ste 103 Frederick MD 21702-4432 Ph: (301) 620-9666 |
| NPI Number | 1245716232 |
|---|---|
| Provider Enumeration Date | 07/13/2018 |
| Last Update Date | 07/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245716232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (Maryland) | Primary |
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