Individual provider · NPI-1

Dr. C Abigail, DDS

Dentist, Orthodontics and Dentofacial Orthopedics · Bethesda, MD

NPI number1649281304
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1649281304
Entity type
Individual (NPI-1)
Name
Dr. C Abigail
Credential
DDS
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 10, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics11596MDYes

Practice location

7700 Old Georgetown Rd
Suite B
Bethesda, MD 20814-6100

Phone 301-907-2990

Mailing address

7700 Old Georgetown Rd
Suite B
Bethesda, MD 20814-6100

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