Individual
LEO V. TRAIL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S., P.A.
Contact information
Practice address
2 COLGATE DR, SUITE 103, FOREST HILL, MD 21050-2624
(410) 836-8567
(410) 836-9677
Mailing address
2 COLGATE DR., SUITE 103, FOREST HILL, MD 21050
(410) 836-8567
(410) 836-9677
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
7077
MD
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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