Individual
LARRY A LAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4 RESERVOIR CIRCLE SUITE 100, BALTIMORE, MD 21208
(410) 486-5678
Mailing address
4 RESERVOIR CIRCLE SUITE 100, BALTIMORE, MD 21208
(410) 486-5678
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
06697
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
521297207
TAX ID#
MD
Enumeration date
01/23/2007
Last updated
12/17/2018
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