Organization
DR. EDWARD G. SHAIVITZ D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD GARY SHAIVITZ D.D.S. (OWNER)
(301) 490-5555
Entity
Organization
Contact information
Practice address
14333 LAUREL BOWIE RD, SUITE 306, LAUREL, MD 20708-1126
(301) 490-5555
Mailing address
14333 LAUREL BOWIE RD, SUITE 306, LAUREL, MD 20708-1126
(301) 490-5555
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
5236
MD
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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