NPI 1104226653

Skp Family Dental

Organisation Exclusive Provider Organization Greenbelt, MD

Practice location

Address: 7525 Greenway Center Dr STE 310, Greenbelt, MD 20770-3525
Phone: (240) 553-7772
Fax: (240) 553-7782

Authorised official

Name: Paulos F Dalu
Title: Dentist
Phone: (240) 553-7772

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 15553 (MD)

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Registry record

NPI: 1104226653
Entity type: Organization
NPI issued: 2 Sep 2014
Record last updated: 2 Sep 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.