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Organization
AKESO OROFACIAL SURGERY MAPLE LAWN
Active
Organization
AKESO OROFACIAL SURGERY MAPLE LAWN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREVANN LYN DMD (CHAIRMAN)
(410) 290-7757
Entity
Organization
Contact information
Practice address
7625 MAPLE LAWN BLVD STE 240, FULTON, MD 20759-2565
(301) 617-3404
Mailing address
6798 OAK HALL LN STE A1, COLUMBIA, MD 21045-4892
(410) 290-7757
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
NULL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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