Organization
MAPLE LAWN ORAL & MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY IBRAHIM HADDAD D.D.S. (SOLE MEMBER AND MANAGER)
(301) 617-3404
Entity
Organization
Contact information
Practice address
7625 MAPLE LAWN BLVD, SUITE 240, FULTON, MD 20759-2565
(301) 617-3404
(301) 617-3407
Mailing address
7625 MAPLE LAWN BLVD, SUITE 240, FULTON, MD 20759-2565
(301) 617-3404
(301) 617-3407
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
07/23/2008
Last updated
01/02/2009
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