| NPI | 1669604245 |
|---|---|
| Other Name | COSMETIC AND ADVANCED DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | EDWARD S LAZER Owner 410-356-7799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MD 11199) |
| Additional Taxonomies | 122300000X Dentist (Licence: MD 8210) |
| 1223E0200X Dentist, Endodontics (Licence: MD 13732) | |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2009-08-17 |