| NPI | 1114629334 |
|---|---|
| Doing Business As | THE MARYLAND ORAL SURGERY GROUP AND IMPLANT CENTER OF BOWIE |
| Entity Type | Organization |
| Authorized Contact | MARK RUSSELL Operations Manager 301-967-0183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2023-03-21 |
| Last Update Date | 2023-03-21 |