Provider Demographics
NPI:1528289352
Name:MOSKOWITZ, ARI (DMD)
Entity type:Individual
Prefix:
First Name:ARI
Middle Name:
Last Name:MOSKOWITZ
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6400 BALIMORE NATIONAL PIKE
Mailing Address - Street 2:SUITE 200B
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-3928
Mailing Address - Country:US
Mailing Address - Phone:410-744-6088
Mailing Address - Fax:410-744-6141
Practice Address - Street 1:6400 BALIMORE NATIONAL PIKE
Practice Address - Street 2:SUITE 200B
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-3928
Practice Address - Country:US
Practice Address - Phone:410-744-6088
Practice Address - Fax:410-744-6141
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD129571223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics