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Organization

LAKE ARBOR DENTAL ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ROSALIND PHILLIPS (OFFICE MANAGER)
(301) 808-3909
Entity
Organization

Contact information

Practice address
10274 LAKE ARBOR WAY, SUITE#203, MITCHELLVILLE, MD 20721-3146
(301) 808-3909
(301) 808-3908
Mailing address
10274 LAKE ARBOR WAY, SUITE#203, MITCHELLVILLE, MD 20721-3146
(301) 808-3909
(301) 808-3908

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
MD

Other

Enumeration date
04/28/2010
Last updated
04/28/2010
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