Organization
GREGORY MOFFITT DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY SCOTT MOFFITT DDS (DENTIST)
(410) 604-2222
Entity
Organization
Contact information
Practice address
101 SAINT CLAIRE PL STE 102, STEVENSVILLE, MD 21666-2172
(410) 604-2222
Mailing address
101 SAINT CLAIRE PL STE 102, STEVENSVILLE, MD 21666-2172
(410) 604-2222
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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