Organization
ROBERT LARAWAY DDS
Active
Other names
Kent Island Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LARAWAY DDS (OWNER)
(717) 579-3741
Entity
Organization
Contact information
Practice address
206 DUKE ST, STEVENSVILLE, MD 21666-4080
(410) 855-4430
Mailing address
7210 KENT POINT RD, STEVENSVILLE, MD 21666-3801
(410) 855-4430
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100128817
—
MD
Enumeration date
11/30/2020
Last updated
11/22/2022
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