Organization
FUSION DENTAL
Active
Parent organization
GREATER MARYLAND DENTAL PARTNERS
Other names
Fusion Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREATER MARYLAND DENTAL PARTNERS
Authorized official
JAIME BYERLY (DO)
(202) 699-1027
Entity
Organization
Contact information
Practice address
1447 YORK RD STE 602, LUTHERVILLE, MD 21093-6034
(410) 825-6010
Mailing address
2992 WALDORF MARKET PL, WALDORF, MD 20603-4874
(301) 843-9330
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/28/2019
Last updated
01/28/2019
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