Organization · Type 2 NPI

Go West Medical Dental Services LLC

Multi-Specialty Clinic/Center · Frederick, MD

NPI number 1174817811 Active

Practice location

110 Baughmans Ln, Suite 140
Frederick, MD 21702-4059

Fax (240) 215-1140

Mailing address

PO Box 1149
Frederick, MD 21702-0149

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300XD31912 (MD)

Multi-Specialty Clinic/Center: Definition to come...

14 other providers at this address

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About NPI 1174817811

Go West Medical Dental Services LLC's National Provider Identifier is 1174817811, issued on May 29, 2011. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Frederick, MD. The record was last updated on May 29, 2011.