NPI | 1215065206 |
---|---|
Doing Business As | FREDERICK DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | DEVENDER VERMA President 301-624-1001 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 11511) |
Additional Taxonomies | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: MD 12781) |
Enumeration Date | 2007-03-01 |
Last Update Date | 2020-08-22 |