| Cosmetic And Advanced Dentistry | |
|
5 Park Center Ct Suite 302 Owings Mills MD 21117-4201 | |
| (410) 356-7799 | |
| (410) 356-4445 |
| Full Name | Cosmetic And Advanced Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 5 Park Center Ct, Owings Mills, Maryland |
| Authorized Official Name and Position | Edward S Lazer (OWNER) |
| Authorized Official Contact | 4103567799 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cosmetic And Advanced Dentistry 5 Park Center Ct Suite 302 Owings Mills MD 21117-4201 Ph: (410) 356-7799 | Cosmetic And Advanced Dentistry 5 Park Center Ct Suite 302 Owings Mills MD 21117-4201 Ph: (410) 356-7799 |
| NPI Number | 1669604245 |
|---|---|
| Provider Enumeration Date | 08/17/2009 |
| Last Update Date | 08/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669604245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 11199 (Maryland) | Primary |
| 122300000X | Dentist | 8210 (Maryland) | Secondary |
| 1223E0200X | Dentist - Endodontics | 13732 (Maryland) | Secondary |
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