Individual
JEFFERY OLIVER LUZADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
888 BESTGATE RD STE 213, ANNAPOLIS, MD 21401-2953
(410) 224-7556
Mailing address
888 BESTGATE RD STE 213, ANNAPOLIS, MD 21401-2953
(410) 224-7556
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
12773
MD
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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