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1407474380
RUSSELL PARK DENTAL CARE, LLC
GAITHERSBURG, MD
NPI
1407474380
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Entity Type
Organization
Authorized Contact
VIGEN SIMCHIAN
Member
301-284-8467
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2020-07-08
Last Update Date
2020-07-08
Business Address
RUSSELL PARK DENTAL CARE, LLC
963 RUSSELL AVE STE A
GAITHERSBURG, MD 20879-3287
Phone number: 301-284-8467
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Mailing Address
RUSSELL PARK DENTAL CARE, LLC
963 RUSSELL AVE STE A
GAITHERSBURG, MD 20879-3287
Phone number: 301-284-8467
Copy
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