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Organization
AKESO CHESAPEAKE ORAL SURGERY LLC
Active
Organization
AKESO CHESAPEAKE ORAL SURGERY LLC
Active
Other names
Chesapeake Oral Surgery and Dental Implants
Organization subpart
No
Provider details
NPI number
Authorized official
TREVANN LYN DMD (OWNER)
(443) 289-1684
Entity
Organization
Contact information
Practice address
2360 W JOPPA RD STE 310, LUTHERVILLE TIMONIUM, MD 21093-4639
(410) 670-4500
Mailing address
6798 OAK HALL LN STE A1, COLUMBIA, MD 21045-4892
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
07/20/2021
Last updated
07/20/2021
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