Organization
SPECIALISTS IN ORTHODONTICS OF MARYLAND, LLC
Active
Organization
SPECIALISTS IN ORTHODONTICS OF MARYLAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JO ANN RICE (CREDENTIALING DIRECTOR)
(470) 881-8679
Entity
Organization
Contact information
Practice address
2 HAMILL RD STE 215, BALTIMORE, MD 21210-1886
(410) 720-3393
Mailing address
2970 BRANDYWINE RD STE 200, ATLANTA, GA 30341-5549
(770) 692-1000
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/29/2019
Last updated
10/12/2023
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