Individual
BENJAMIN BRIGOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
770 OLD LIBERTY RD, ELDERSBURG, MD 21784-8500
(410) 875-7789
Mailing address
6112 MORNING CALM WAY, COLUMBIA, MD 21045-2655
(443) 996-1938
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
17634
MD
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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