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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