| Brian Moore DMD | |
|
10085 Red Run Blvd Ste 407 Owings Mills MD 21117-4896 | |
| (410) 356-1400 | |
| (443) 288-4288 |
| Full Name | Brian Moore DMD |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10085 Red Run Blvd Ste 407, Owings Mills, Maryland |
| Authorized Official Name and Position | Brian C Moore (OWNER) |
| Authorized Official Contact | 4103561400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Moore DMD 10085 Red Run Blvd Ste 407 Owings Mills MD 21117-4896 Ph: (410) 356-1400 | Brian Moore DMD 10085 Red Run Blvd Ste 407 Owings Mills MD 21117-4896 Ph: (410) 356-1400 |
| NPI Number | 1821574112 |
|---|---|
| Provider Enumeration Date | 07/19/2018 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821574112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 8996 (Maryland) | Primary |
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