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Organization

MARTHA M. MURPHY DDS LLC

Active
Other names
Lakeside Dental
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT J MAURI CPA (PRACTICE MANAGER)
(301) 990-7778
Entity
Organization

Contact information

Practice address
100 LAKEFOREST BLVD, SUITE 620, GAITHERSBURG, MD 20877-2609
(301) 990-7778
Mailing address
100 LAKEFOREST BLVD, SUITE 620, GAITHERSBURG, MD 20877-2609
(301) 990-7778

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
MD7735
MD

Other

Enumeration date
08/23/2007
Last updated
08/23/2007
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