Individual
DR. EDWARD GARY SHAIVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
14333 LAUREL BOWIE RD STE 306, LAUREL, MD 20708-1183
(301) 490-5555
(301) 490-5308
Mailing address
14333 LAUREL BOWIE RD STE 306, LAUREL, MD 20708-1183
(301) 490-5555
(301) 490-5308
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
5236
MD
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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