| Lvt Dental Center | |
|
1450 Mercantile Ln Suite 207a Largo MD 20774-5376 | |
| (204) 455-7484 | |
| (240) 455-7476 |
| Full Name | Lvt Dental Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1450 Mercantile Ln, Largo, Maryland |
| Authorized Official Name and Position | Lisa Valdene Thompson (CEO, OWNER) |
| Authorized Official Contact | 2404557484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lvt Dental Center 1450 Mercantile Ln Suite 207a Largo MD 20774-5376 Ph: (204) 455-7484 | Lvt Dental Center 1450 Mercantile Ln Suite 207a Largo MD 20774-5376 Ph: (204) 455-7484 |
| NPI Number | 1922249200 |
|---|---|
| Provider Enumeration Date | 03/16/2009 |
| Last Update Date | 03/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922249200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 13668 (Maryland) | Primary |
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