Organization · Type 2 NPI

Russell Park Dental Care, LLC

Dental Clinic/Center · Gaithersburg, MD

NPI number 1407474380 Active

Practice location

963 Russell Ave Ste A
Gaithersburg, MD 20879-3287

Call (301) 284-8467 Map

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1407474380

Russell Park Dental Care, LLC's National Provider Identifier is 1407474380, issued on Jul 8, 2020. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Gaithersburg, MD. The record was last updated on Jul 8, 2020.