Mondragon Velez, Gloria C

Mondragon Velez, Gloria C is an individual health care provider with primary practice located at 2730 University Blvd W Ste 1010 , Silver Spring MD 20902-5902. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Mondragon Velez, Gloria C can be contacted via phone (240) 752-8822.

Contact Information

Primary practice address
2730 University Blvd W Ste 1010 Silver Spring MD 20902-5902
Phone: (240) 752-8822
Fax: (240) 752-8821
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN21573 Florida
Dental Providers / Pediatric Dentistry 1223P0221X DN21573 Florida
Dental Providers / Pediatric Dentistry 1223P0221X 17173 Maryland

Profile Details

NPI number 1598121402
LBN Legal business name Mondragon Velez, Gloria C
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2016
Last updated Mar 6th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1598121402 NPPES
Florida Other DN21573 FLORIDA DEPARTMENT OF HEALTH MQA

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