Organization
ADVANCED COSMETIC AND IMPLANT DENTISTRY OF MARYLAND, INC.
Active
Other names
Brian Moore DMD, Brian Moore DMD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN C MOORE DMD (OWNER)
(410) 356-1400
Entity
Organization
Contact information
Practice address
10085 RED RUN BLVD STE 407, OWINGS MILLS, MD 21117-4896
(410) 356-1400
(443) 288-4288
Mailing address
10085 RED RUN BLVD STE 407, OWINGS MILLS, MD 21117-4896
(410) 356-1400
(443) 288-4288
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
8996
MD
Other
Enumeration date
07/19/2018
Last updated
06/11/2019
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