MEDICARE: ARI L. MOSKOWITZ, DMD, PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center	12957	MD

General Provider Information

NPI Number	:	1386866481
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARI L. MOSKOWITZ, DMD, PA

Provider Business Mailing Address
First Line	:	6400 BALTIMORE NATIONAL PIKE
Second Line	:	SUITE 200B
City	:	CATONSVILLE
State	:	MD
Zip	:	21228-3928
Country	:	US
Telephone Number	:	410-744-6088
Fax Number	:	410-744-6141

Provider Business Practice Location Address
First Line	:	6400 BALTIMORE NATIONAL PIKE
Second Line	:	SUITE 200B
City	:	CATONSVILLE
State	:	MD
Zip	:	21228-3928
Country	:	US
Telephone Number	:	410-744-6088
Fax Number	:	410-744-6141

Authorized Official
Title or Position	:	PERIODONTIST,CEO
Name	:	ARI MOSKOWITZ
Credential	:	D.M.D.
Telephone Number	:	410-744-6088

Provider Enumeration Date	:	05/02/2007
Last Update Date	:	02/14/2011

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