| NPI | 1689930919 |
|---|---|
| Doing Business As | THE MARYLAND ORAL SURGERY GROUP |
| Entity Type | Organization |
| Authorized Contact | SHARON SHERISE RUSSELL Oral Surgeon 240-478-7030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MD 14351) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2012-04-11 |