Sculpture32 Orthodontics, LLC

NPI #1104400811 in Reisterstown, Maryland

Provider Information

NPI Number: 1104400811
Entity Type: Organization
Organization Name: Sculpture32 Orthodontics, LLC
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: May 9, 2021
Last Updated: May 9, 2021

Practice Location

Address: 409 MAIN ST
City: Reisterstown
State: Maryland
ZIP Code: 21136-1905
Phone: (410) 833-9330

Authorized Official

Name: DR. JASON SHOE, DMD MS
Title: AUTHORIZED MEMBER
Phone: (717) 634-7912

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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