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Individual

DAVID LEE GEORGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S., M.B.A.

Contact information

Practice address
650 W BALTIMORE ST, DEAN'S OFFICE, BALTIMORE, MD 21201-1510
(410) 706-7461
Mailing address
6811 ROSLYN CT, COLUMBIA, MD 21044-4917
(301) 854-0339

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
0401007209
VA
122300000X
Dentist
Primary
10401
MD

Other

Enumeration date
12/23/2011
Last updated
12/23/2011
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