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Organization
AKESO ORAFACIAL MAXILLARY SURGERY
Active
Organization
AKESO ORAFACIAL MAXILLARY SURGERY
Active
Other names
Laurel Oral Surgery, Nottingham Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TREVANN LYN DMD (OWNER/ORAL SURGEON)
(410) 665-2500
Entity
Organization
Contact information
Practice address
7544 BELAIR ROAD, NOTTINGHAM, MD 21236
(410) 665-2500
(410) 665-3235
Mailing address
7544 BELAIR RD, NOTTINGHAM, MD 21236-4108
(410) 665-2500
(410) 665-3235
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
10/25/2017
Last updated
07/21/2022
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