Organization
AKESO CHESAPEAKE ORAL SURGERY LLC
Active
Other names
Chesapeake Oral Surgery and Dental Implants
Organization subpart
No
Provider details
NPI number
Authorized official
TREVANN LYN DMD (OWNER)
(443) 289-1684
Entity
Organization
Contact information
Practice address
2360 W JOPPA RD STE 310, LUTHERVILLE TIMONIUM, MD 21093-4639
(410) 670-4500
Mailing address
6798 OAK HALL LN STE A1, COLUMBIA, MD 21045-4892
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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