Shady Grove Modern Dental PC
Shady Grove Modern Dental PC provides Dentist services in Gaithersburg, Maryland. Licensed in Maryland. Registered with an NPI since 2006.
- Licensed in
- MD
- In the registry since
- 2006
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
9051 Shady Grove CtGaithersburg, MD 20877
Phone: (301) 330-4613
Fax: (301) 330-4619
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 11662 (MD) |
|---|
Record details
| NPI number | 1508802414 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Duy Tam Tran Kiem — President · (301) 330-4613 |
| NPI enumerated | June 20, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 9051 Shady Grove Court, Gaithersburg, MD 20877 |
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