Organization
AKESO ORAFACIAL MAXILLARY SURGERY
Active
Other names
Laurel Oral Surgery, Nottingham Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TREVANN LYN DMD (OWNER/ORAL SURGEON)
(410) 665-2500
Entity
Organization
Contact information
Practice address
7544 BELAIR ROAD, NOTTINGHAM, MD 21236
(410) 665-2500
(410) 665-3235
Mailing address
7544 BELAIR RD, NOTTINGHAM, MD 21236-4108
(410) 665-2500
(410) 665-3235
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19522
—
MD
Enumeration date
10/25/2017
Last updated
07/21/2022
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