# BRIDGE SURGICAL ARTS CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326794041
- **Authorized official:** DR. AHMED MOHAMED TAMIM DDS, MD (OWNER)
- **Authorized official phone:** (410) 999-8584

## Contact information

- **Practice address:** 7226 LEE DEFOREST DR STE 205, COLUMBIA, MD 21046-3238
- **Practice address phone:** (410) 999-8584
- **Practice address fax:** (410) 999-8583
- **Mailing address:** 7226 LEE DEFOREST DR STE 205, COLUMBIA, MD 21046-3238
- **Mailing address phone:** (410) 999-8584
- **Mailing address fax:** (410) 999-8583

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 02/22/2022
- **Last updated:** 02/22/2022