Organization
ED LAZER DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAYLOR SHOFFNER (DIRECTOR OF OPERATIONS)
(410) 356-7799
Entity
Organization
Contact information
Practice address
1810 BEL AIR RD, SUITE 201, FALLSTON, MD 21047-2729
(410) 877-7900
(410) 877-8455
Mailing address
1810 BEL AIR RD, SUITE 201, FALLSTON, MD 21047-2729
(410) 877-7900
(410) 877-8455
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11199
MD
Other
Enumeration date
06/21/2011
Last updated
06/21/2011
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