Individual
DR. MARK S LAVETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
85 HIGH ST, SUITE 6, WALDORF, MD 20602-2150
(301) 843-7303
(301) 645-6063
Mailing address
85 HIGH ST, SUITE 6, WALDORF, MD 20602-2150
(301) 843-7303
(301) 645-6063
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7017
MD
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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