| NPI | 1164848370 |
|---|---|
| Former Legal Business Name | MARYLAND ORAL SURGERY ASSOCIATES OF FREDERICK, LLC |
| Entity Type | Organization |
| Authorized Contact | GLENN A. NATHAN President 301-340-6884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MD 11347) |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2023-08-08 |