Organization
FUSION DENTAL
Active
Parent organization
FUSION DENTAL
Other names
Fusion Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
FUSION DENTAL
Authorized official
MR. GREGORY R BOB DDS (PC PRESIDENT)
(301) 843-9330
Entity
Organization
Contact information
Practice address
5959 EXCHANGE DRIVE, SUITE 116, ELDERSBURG, MD 21784
(410) 795-7484
Mailing address
1137 LIBERTY RD, ELDERSBURG, MD 21784-7934
(410) 795-7484
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10965
MD
Other
Enumeration date
10/07/2011
Last updated
10/07/2011
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