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Organization

FUSION DENTAL

Active
Parent organization
FUSION DENTAL, PA
Organization subpart
Yes

Provider details

NPI number
Legal business name
FUSION DENTAL, PA
Authorized official
DR. GREGORY RICHARD BOB DDS (PRESIDENT)
(301) 645-1344
Entity
Organization

Contact information

Practice address
2992 WALDORF MARKETPLACE, WALDORF, MD 20603
(301) 645-1344
(301) 645-4654
Mailing address
2992 WALDORF MARKETPLACE, WALDORF, MD 20603
(301) 645-1344
(301) 645-4654

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
MD

Other

Enumeration date
01/03/2007
Last updated
08/10/2015
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