| Tyson Bross Dmd Phd Llc | |
|
129 Lubrano Dr Ste 300 Annapolis MD 21401-7568 | |
| (410) 224-0018 | |
| (410) 224-4214 |
| Full Name | Tyson Bross Dmd Phd Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 129 Lubrano Dr Ste 300, Annapolis, Maryland |
| Authorized Official Name and Position | Tyson Bross (PRINCIPAL) |
| Authorized Official Contact | 4433731634 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tyson Bross Dmd Phd Llc 101 Eareckson Ln Stevensville MD 21666-3037 Ph: () - | Tyson Bross Dmd Phd Llc 129 Lubrano Dr Ste 300 Annapolis MD 21401-7568 Ph: (410) 224-0018 |
| NPI Number | 1336659721 |
|---|---|
| Provider Enumeration Date | 10/11/2017 |
| Last Update Date | 10/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336659721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 14024 (Maryland) | Primary |
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