SHADY GROVE MODERN DENTAL PC

GAITHERSBURG, MD
NPI1508802414
Entity TypeOrganization
Authorized ContactDUY TAM TRAN KIEM
President
301-330-4613
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: MD  11662)
Enumeration Date2006-06-20
Last Update Date2020-08-22
Business Address
SHADY GROVE MODERN DENTAL PC
9051 SHADY GROVE COURT
GAITHERSBURG, MD 20877
Phone number: 301-330-4613
Mailing Address
SHADY GROVE MODERN DENTAL PC
9051 SHADY GROVE COURT
GAITHERSBURG, MD 20877
Phone number: 301-330-4613
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