MOSES PARK

SEVERNA PARK, MD
NPI1306539655
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MD  18005)
Enumeration Date2023-06-01
Last Update Date2023-06-01
Business Address
MOSES PARK
780 GOVERNOR RITCHIE HWY STE 30
SEVERNA PARK, MD 21146-4135
Phone number: 410-384-9030
Mailing Address
MOSES PARK
13100 DAIRYMAID DR
GERMANTOWN, MD 20874-2311
Phone number: 423-715-8593
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