Organization
DRS WALZER SULLIVAN & HLOUSEK PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUBOR HLOUSEK MD DMD (OWNER)
(410) 268-7790
Entity
Organization
Contact information
Practice address
275 WEST STREET, SUITE 100, ANNAPOLIS, MD 21401
(410) 268-7790
(410) 268-7874
Mailing address
275 WEST STREET, SUITE 100, ANNAPOLIS, MD 21401
(410) 268-7790
(410) 268-7874
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
06/15/2007
Last updated
01/31/2008
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