Individual
DR. JOHN VINCENT LOUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD LLC
Contact information
Practice address
218 BAY STREET, EASTON, MD 21601
(410) 820-9599
(410) 820-8786
Mailing address
218 BAY STREET, EASTON, MD 21601
(410) 820-9599
(410) 820-8786
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
11448
MD
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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