Organization
PAUL B. LAVINE, D.D.S. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL B LAVINE D.D.S. (GENERAL DENTIST, OWNER)
(410) 398-0250
Entity
Organization
Contact information
Practice address
201 NORTH ST, ELKTON, MD 21921-5512
(410) 398-0250
Mailing address
201 NORTH ST, ELKTON, MD 21921-5512
(410) 398-0250
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15500
MD
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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