Individual
DR. LAWRENCE R. PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., PH.D.
Contact information
Practice address
5044 DORSEY HALL DR, SUITE 104, ELLICOTT CITY, MD 21042-7751
(410) 997-7975
(410) 997-4550
Mailing address
5044 DORSEY HALL DR, SUITE 104, ELLICOTT CITY, MD 21042-7751
(410) 997-7975
(410) 997-4550
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
7532
MD
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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