Individual
DR. ORVILLE JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6620 CRAIN HWY, SUITE 204, LA PLATA, MD 20646-5204
(301) 870-3966
Mailing address
6620 CRAIN HWY, SUITE 204, LA PLATA, MD 20646-5204
(301) 870-3966
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3614
DC
122300000X
Dentist
Primary
7066
MD
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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