Organization
EDWARD A. LAGA, JR. D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD A. LAGA JR. D.D.S. (ORAL SURGEON)
(207) 764-3900
Entity
Organization
Contact information
Practice address
175 ACADEMY ST, PRESQUE ISLE, ME 04769-3103
(207) 764-3900
(207) 764-3788
Mailing address
175 ACADEMY ST, PRESQUE ISLE, ME 04769-3103
(207) 764-3900
(207) 764-3788
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DEN4002
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432544800
—
ME
Enumeration date
05/21/2007
Last updated
05/21/2008
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