Individual
DR. LARRY GREENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5480 WISCONSIN AVE, 4708 BRADLEY BLVD T2, CHEVY CHASE, MD 20815
(301) 652-6011
(301) 656-7433
Mailing address
5480 WISCONSIN AVE, SUITE 208, CHEVY CHASE, MD 20815
(301) 652-6011
(301) 656-7433
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4686
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4686
MARYLAND DENTAL LICENSE
MD
Enumeration date
11/20/2006
Last updated
03/07/2023
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