Individual
DR. THEDORE LICHTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3327 SUPERIOR LN, STE 101, BOWIE, MD 20715-1922
(301) 464-2323
(301) 464-2125
Mailing address
3327 SUPERIOR LN, STE 101, BOWIE, MD 20715
(301) 464-2323
(301) 464-2125
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3745
MD
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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