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Organization
SPECIALISTS IN ORTHODONTICS OF MARYLAND, LLC
Active
Organization
SPECIALISTS IN ORTHODONTICS OF MARYLAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JO ANN RICE (CREDENTIALING DIRECTOR)
(609) 315-3851
Entity
Organization
Contact information
Practice address
8600 SNOWDEN RIVER PKWY STE 302, COLUMBIA, MD 21045-1985
(410) 953-0111
Mailing address
2970 BRANDYWINE RD STE 200, ATLANTA, GA 30341-5549
(609) 315-3851
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/18/2019
Last updated
10/12/2023
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