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NPI Code Detail

MEDICARE: DR. RONALD ADAM POMYKALA DDS

MEDICARE:  DR. RONALD ADAM POMYKALA  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist3539MD

General Provider Information

NPI Number : 1952505133
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RONALD ADAM POMYKALA DDS
Provider Business Mailing Address
First Line : 4500 N PARK AVE
Second Line : N803
City : CHEVY CHASE
State : MD
Zip : 20815-7239
Country : US
Telephone Number : 301-656-1106
Fax Number :
Provider Business Practice Location Address
First Line : 4500 N PARK AVE
Second Line : N803
City : CHEVY CHASE
State : MD
Zip : 20815-7239
Country : US
Telephone Number : 301-656-1106
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2007
Last Update Date : 07/08/2007

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Directions to “ DR. RONALD ADAM POMYKALA DDS” Practice Location

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