| Sculpture32 Orthodontics, Llc | |
|
409 Main St Reisterstown MD 21136-1905 | |
| (410) 833-9330 | |
| Not Available |
| Full Name | Sculpture32 Orthodontics, Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 409 Main St, Reisterstown, Maryland |
| Authorized Official Name and Position | Jason Shoe (AUTHORIZED MEMBER) |
| Authorized Official Contact | 7176347912 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sculpture32 Orthodontics, Llc 409 Main St Reisterstown MD 21136-1905 Ph: (410) 833-9330 | Sculpture32 Orthodontics, Llc 409 Main St Reisterstown MD 21136-1905 Ph: (410) 833-9330 |
| NPI Number | 1104400811 |
|---|---|
| Provider Enumeration Date | 05/09/2021 |
| Last Update Date | 05/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104400811 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
Suman Chibb Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 620 Main Street, Reisterstown, MD 21136 Phone: 410-526-5177 | |
Alexsandr M Fishman Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11710 Reisterstown Rd Ste 201, Reisterstown, MD 21136 Phone: 410-833-8380 | |
Marshall R Goldman Ddspa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11963 Reisterstown Rd, Reisterstown, MD 21136 Phone: 410-833-6200 | |
Glade Dental Practice Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11710 Reisterstown Rd, 201, Reisterstown, MD 21136 Phone: 410-833-8380 |