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Organization
DR. EDWARD G. SHAIVITZ D.D.S., P.A.
Active
Organization
DR. EDWARD G. SHAIVITZ D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD GARY SHAIVITZ D.D.S. (OWNER)
(301) 490-5555
Entity
Organization
Contact information
Practice address
14333 LAUREL BOWIE RD, SUITE 306, LAUREL, MD 20708-1126
(301) 490-5555
Mailing address
14333 LAUREL BOWIE RD, SUITE 306, LAUREL, MD 20708-1126
(301) 490-5555
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
5236
MD
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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