| Dr Keith Edwin Moomaw, DDS | |
|
1308 Business Center Way, Suite 105, Edgewood, MD 21040-1504 | |
| (410) 679-2790 | |
| Not Available |
| Full Name | Dr Keith Edwin Moomaw |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 1308 Business Center Way, Edgewood, Maryland |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164645859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | MD6960 (Maryland) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Keith Edwin Moomaw, DDS 1308 Business Center Way, Suite 105, Edgewood, MD 21040-1504 Ph: (410) 679-2790 | Dr Keith Edwin Moomaw, DDS 1308 Business Center Way, Suite 105, Edgewood, MD 21040-1504 Ph: (410) 679-2790 |
Dr. Thomas Scott Jenkins, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1401 Pulaski Hwy Ste V, Edgewood, MD 21040 Phone: 410-679-2523 Fax: 410-676-2683 | |
Dr. Sharon Elaine Reynolds Lundgren, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2104 Trimble Rd, Edgewood, MD 21040 Phone: 410-676-5252 Fax: 410-679-4068 | |
Jay Yale Rudo, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1401 Pulaski Hwy Ste V, Edgewood, MD 21040 Phone: 410-679-2523 | |
Dr. Peter Hamilton Roth, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1308 Business Center Way, Suite 105, Edgewood, MD 21040 Phone: 410-679-2790 Fax: 410-679-4207 |