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 |