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Contact Information

AKESO OROFACIAL SURGERY, LLC
13934 BALTIMORE AVE
LAUREL, MD20707-5000
 Phone: 301-329-5758
 Fax: 410-665-3235
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
 

Oral and Maxillofacial Surgery

261QS0112X
Indicates primary specialty

NPI Profile & details for AKESO OROFACIAL SURGERY LLC · (Female)

NPI # 1457913907
Status Active
Credentials
Entity Individual
Enumeration date 07/05/2019
Last updated 07/05/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • MD Medicaid 58463100
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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