| NPI | 1386073054 |
|---|---|
| Doing Business As | THE MARYLAND ORAL SURGERY GROUP |
| Entity Type | Organization |
| Authorized Contact | MARK RUSSELL COO 240-320-7331 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 14351) |
| Additional Taxonomies | 122300000X Dentist (Licence: MD 14351) |
| 1223P0700X Dentist, Prosthodontics | |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2013-11-04 |