Individual
DR. BURTON MARK WAXMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5058 DORSEY HALL DR STE 102, ELLICOTT CITY, MD 21042-7850
(410) 740-3636
(410) 740-9077
Mailing address
13815 LAKESIDE DR, CLARKSVILLE, MD 21029-1339
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
6731
MD
Other
Enumeration date
07/26/2006
Last updated
12/11/2024
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