Individual
DR. THOMAS FRANK LUSBY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
135 W DARES BEACH RD, SUITE 209, PRINCE FREDERICK, MD 20678-3119
(410) 535-0001
(410) 535-5624
Mailing address
6200 SANDY POINT RD, PRINCE FREDERICK, MD 20678-5770
(410) 535-0066
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
06839
MD
Other
Enumeration date
01/06/2007
Last updated
07/08/2007
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