Organization
LISA H. SLADE DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA SLADE (CEO-PRESIDENT)
(301) 585-9192
Entity
Organization
Contact information
Practice address
8607 2ND AVE, SUITE 201A, SILVER SPRING, MD 20910-3355
(301) 585-9192
(301) 585-9163
Mailing address
8607 2ND AVE, SUITE 201A, SILVER SPRING, MD 20910-3355
(301) 585-9192
(301) 585-9163
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
9660
MD
Other
Enumeration date
03/15/2007
Last updated
11/28/2011
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