Organization
SCULPTURE32 ORTHODONTICS, LLC
Active
Other names
Shoe Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON SHOE DMD MS (AUTHORIZED MEMBER)
(717) 634-7912
Entity
Organization
Contact information
Practice address
409 MAIN ST, REISTERSTOWN, MD 21136-1905
(410) 833-9330
Mailing address
409 MAIN ST, REISTERSTOWN, MD 21136-1905
(410) 833-9330
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
05/09/2021
Last updated
05/09/2021
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