Bridge Surgical Arts Corp | |
7226 Lee Deforest Dr Ste 205 Columbia MD 21046-3238 | |
(410) 999-8584 | |
(410) 999-8583 |
Full Name | Bridge Surgical Arts Corp |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 7226 Lee Deforest Dr Ste 205, Columbia, Maryland |
Authorized Official Name and Position | Ahmed Mohamed Tamim (OWNER) |
Authorized Official Contact | 4109998584 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bridge Surgical Arts Corp 7226 Lee Deforest Dr Ste 205 Columbia MD 21046-3238 Ph: (410) 999-8584 | Bridge Surgical Arts Corp 7226 Lee Deforest Dr Ste 205 Columbia MD 21046-3238 Ph: (410) 999-8584 |
NPI Number | 1326794041 |
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Provider Enumeration Date | 02/22/2022 |
Last Update Date | 02/22/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326794041 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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