MID-MARYLAND ORAL AND MAXILLOFACIAL SURGERY PA is an oral and maxillofacial surgery clinic center in Frederick, MD. The provider is an oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. MID-MARYLAND ORAL AND MAXILLOFACIAL SURGERY PA NPI is 1710950399. The provider is registered as an organization entity type.
The provider's business location address is:
68 THOMAS JOHNSON DR
SUITE A
FREDERICK, MD
ZIP 21702
Phone: (301) 694-2300
Fax: (301) 694-7372
The provider's authorized official is Peter M Tan .
The authorized official title is President and has the following contact phone number (301) 694-2300.
The enumeration date for this NPI number is 2/13/2006 and was last updated on 7/21/2010.