Provider Demographics
NPI:1952316549
Name:GERLEIN, EDUARDO (DDS, MS,MMSC)
Entity Type:Individual
Prefix:DR
First Name:EDUARDO
Middle Name:
Last Name:GERLEIN
Suffix:
Gender:M
Credentials:DDS, MS,MMSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5550 FRIENDSHIP BLVD
Mailing Address - Street 2:SUITE 320
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-7256
Mailing Address - Country:US
Mailing Address - Phone:301-951-4114
Mailing Address - Fax:301-951-6116
Practice Address - Street 1:5550 FRIENDSHIP BLVD
Practice Address - Street 2:SUITE 320
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-7256
Practice Address - Country:US
Practice Address - Phone:301-951-4114
Practice Address - Fax:301-951-6116
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD119211223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics