Individual
DR. DANTE S LLACUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12505 HAXALL CT, FORT WASHINGTON, MD 20744-7042
(301) 292-6877
Mailing address
12505 HAXALL CT, FORT WASHINGTON, MD 20744-7042
(301) 292-6877
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D0017711
MD
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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