Individual
KEVIN W. LEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
806 LANDMARK DR, SUITE 124, GLEN BURNIE, MD 21061-4980
(410) 768-3288
(410) 768-1629
Mailing address
806 LANDMARK DR, SUITE 124, GLEN BURNIE, MD 21061-4980
(410) 360-9061
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11103
MD
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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