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Organization

DR. EDWARD S. LAZER, D.D.S., P.C.

Active
Other names
Cosmetic and Advanced Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EDWARD S LAZER D.D.S. (OWNER)
(410) 356-7799
Entity
Organization

Contact information

Practice address
5 PARK CENTER CT, SUITE 302, OWINGS MILLS, MD 21117-4201
(410) 356-7799
(410) 356-4445
Mailing address
5 PARK CENTER CT, SUITE 302, OWINGS MILLS, MD 21117-4201
(410) 356-7799
(410) 356-4445

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11199
MD
122300000X
Dentist
8210
MD
1223E0200X
Endodontics
13732
MD

Other

Enumeration date
08/17/2009
Last updated
08/17/2009
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