Maple Lawn Oral & Maxillofacial Surgery

NPI #1598920282 in Fulton, Maryland

Provider Information

NPI Number: 1598920282
Entity Type: Organization
Organization Name: Maple Lawn Oral & Maxillofacial Surgery
Primary Specialty: Clinic/Center - Oral and Maxillofacial Surgery
Enumeration Date: Jul 23, 2008
Last Updated: Jan 2, 2009

Practice Location

Address: 7625 MAPLE LAWN BLVD
Address 2: SUITE 240
City: Fulton
State: Maryland
ZIP Code: 20759-2565
Phone: (301) 617-3404

Authorized Official

Name: DR. JAY IBRAHIM HADDAD, D.D.S.
Title: SOLE MEMBER AND MANAGER
Phone: (301) 617-3404

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	261QS0112X	Primary

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