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1912301201
ORVILLE JOHN
LA PLATA, MD
NPI
1912301201
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MD 7066)
Additional Taxonomies
122300000X Dentist
(Licence: DC 3614)
Enumeration Date
2014-10-15
Last Update Date
2014-10-15
Business Address
Dr. ORVILLE JOHN D.D.S.
6620 CRAIN HWY SUITE 204
LA PLATA, MD 20646-5204
Phone number: 301-870-3966
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Mailing Address
Dr. ORVILLE JOHN D.D.S.
6620 CRAIN HWY SUITE 204
LA PLATA, MD 20646-5204
Phone number: 301-870-3966
Copy
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