Organization
LAKEVIEW DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AAKASH MUDALIAR DMD (PRESIDENT)
(570) 309-8223
Entity
Organization
Contact information
Practice address
605 POST OFFICE RD STE 203, WALDORF, MD 20602-1913
(301) 843-3444
(301) 843-3633
Mailing address
605 POST OFFICE RD STE 203, WALDORF, MD 20602-1913
(301) 843-3444
(301) 843-3633
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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