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Organization
FUSION DENTAL
Active
Organization
FUSION DENTAL
Active
Parent organization
FUSION DENTAL
Other names
Fusion Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
FUSION DENTAL
Authorized official
MR. GREGORY R BOB DDS (PC PRESIDENT)
(301) 843-9330
Entity
Organization
Contact information
Practice address
5959 EXCHANGE DRIVE, SUITE 116, ELDERSBURG, MD 21784
(410) 795-7484
Mailing address
1137 LIBERTY RD, ELDERSBURG, MD 21784-7934
(410) 795-7484
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10965
MD
Other
Enumeration date
10/07/2011
Last updated
10/07/2011
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