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Individual

BOBBI MICHELLE MOOSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS, MPH

Contact information

Practice address
12503 WILLOWBROOK RD. SE, CUMBERLAND, MD 21502
(301) 759-5030
Mailing address
39 BALTIMORE ST STE 302, CUMBERLAND, MD 21502-3066
(301) 724-0595

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13596
MD

Other

Enumeration date
02/14/2008
Last updated
02/14/2008
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