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Organization
FUSION DENTAL
Active
Organization
FUSION DENTAL
Active
Parent organization
FUSION DENTAL, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
FUSION DENTAL, PA
Authorized official
DR. GREGORY RICHARD BOB DDS (PRESIDENT)
(301) 645-1344
Entity
Organization
Contact information
Practice address
2992 WALDORF MARKETPLACE, WALDORF, MD 20603
(301) 645-1344
(301) 645-4654
Mailing address
2992 WALDORF MARKETPLACE, WALDORF, MD 20603
(301) 645-1344
(301) 645-4654
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
MD
Other
Enumeration date
01/03/2007
Last updated
08/10/2015
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