Gustavo N Mongelos in Rockville - General Practice

Gustavo N Mongelos - NPI 1649377839

Gustavo N Mongelos is a General Practice in Rockville, Maryland. Gustavo N Mongelos practices all healthcare services and medical treatments related to General Practice. The NPI Number for Gustavo N Mongelos is 1649377839. The last update date is 2018-04-12.

Gustavo N Mongelos's current location address is 4417 Chestnut Ln, Rockville, Maryland. You can contact this provider via phone number 3012131024 and fax number 2023621045. The mailing address for Gustavo N Mongelos is 4417 Chestnut Ln, Rockville, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Gustavo N Mongelos
Address 4417 Chestnut Ln, Rockville, Maryland
Phone Number 3012131024
Fax Number 2023621045
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1649377839
Provider Enumeration Date 2006-09-20
Last Updated Date 2018-04-12

Provider Mailing Address Detail

Address 4417 Chestnut Ln
City Rockville
State Maryland (MD)
Post Code 208531402
Phone Number 3012131024
Fax Number 2023621045

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 5581
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Gustavo N Mongelos

What is the unique 10-digit identifier code assigned to Gustavo N Mongelos by the Centers for Medicare & Medicaid Services?

The Gustavo N Mongelos has been issued the NPI (National Provider Identifier) 1649377839 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Gustavo N Mongelos is geographically located?

The Gustavo N Mongelos is physically situated at the following location: 4417 Chestnut Ln, Rockville, MD, 208531402.

What is the Gustavo N Mongelos's specialty and taxonomy code?

The Gustavo N Mongelos's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.

When did the Gustavo N Mongelos receive its 1649377839?

The Gustavo N Mongelos was issued its 1649377839 on 2006-09-20, which is the date when the organization was assigned this unique identifier.

When was the Gustavo N Mongelos's information last updated?

The Gustavo N Mongelos's information was last updated on 2018-04-12.

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