Milo, Justin Gervais
Milo, Justin Gervais is an sole proprietor health care provider with primary practice located at 15200 Shady Grove Rd Ste 450 , Rockville MD 20850-6204. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is his primary health care specialty. Milo, Justin Gervais can be contacted via phone (301) 330-3222.Contact Information
Primary practice address
15200 Shady Grove Rd Ste 450
Rockville MD 20850-6204
Phone: (301) 330-3222
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | EXEMPT1 | Maryland |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 17144 | Maryland |
Profile Details
| NPI number | 1689298606 |
|---|---|
| LBN Legal business name | Milo, Justin Gervais |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 5th, 2020 |
| Last updated | Mar 13th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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