Individual
DR. LARA D. MINAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
3423 OLNEY - LAYTONSVILLE RD., SUITE 3A, OLNEY, MD 20832
(301) 260-2030
(301) 260-0633
Mailing address
18200 GEORGIA AVENUE, SUITE N, OLNEY, MD 20832
(301) 260-2030
(301) 260-0633
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12743
MD
Other
Enumeration date
03/05/2009
Last updated
01/28/2013
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