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1164645859
KEITH EDWIN MOOMAW
EDGEWOOD, MD
NPI
1164645859
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: MD MD6960)
Enumeration Date
2007-04-11
Last Update Date
2007-07-08
Business Address
DR. KEITH EDWIN MOOMAW DDS
1308 BUSINESS CENTER WAY SUITE 105
EDGEWOOD, MD 21040-1504
Phone number: 410-679-2790
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Mailing Address
DR. KEITH EDWIN MOOMAW DDS
1308 BUSINESS CENTER WAY SUITE 105
EDGEWOOD, MD 21040-1504
Phone number: 410-679-2790
Copy
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