Md Oms Sds, Llc | |
5397 Twin Knolls Rd Ste 18 Columbia MD 21045-3256 | |
(410) 730-6001 | |
Not Available |
Full Name | Md Oms Sds, Llc |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 5397 Twin Knolls Rd Ste 18, Columbia, Maryland |
Authorized Official Name and Position | Charlotte E Vial (DIRECT OF CRED AND PROV REL) |
Authorized Official Contact | 5046380303 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Md Oms Sds, Llc 1610 54th Ave N Ste 205 Nashville TN 37209-1442 Ph: (615) 678-0759 | Md Oms Sds, Llc 5397 Twin Knolls Rd Ste 18 Columbia MD 21045-3256 Ph: (410) 730-6001 |
NPI Number | 1225801236 |
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Provider Enumeration Date | 11/01/2023 |
Last Update Date | 11/01/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225801236 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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