Provider Demographics
NPI:1356581300
Name:H & M COSMETIC DENTISTRY INC
Entity type:Organization
Organization Name:H & M COSMETIC DENTISTRY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HERBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:MOLLINEDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-355-5155
Mailing Address - Street 1:1 MARYLAND AVE STE A
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-2756
Mailing Address - Country:US
Mailing Address - Phone:301-355-5155
Mailing Address - Fax:
Practice Address - Street 1:1 MARYLAND AVE STE A
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-2756
Practice Address - Country:US
Practice Address - Phone:301-355-5155
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-04
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD14134261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental