NPI 1184492068

Opne Wide LLC

Organisation Dental Laboratory Technician Baltimore, MD

Practice location

Address: 221 S Fulton Ave, Baltimore, MD 21223-3004
Phone: (410) 258-0189

Authorised official

Name: Terrance Shateek Lawrence
Title: Dental Lab Technician
Phone: (410) 258-0189

Registered specialties

Dental Laboratory Technician Primary

Dental Providers Taxonomy 126900000X

Other Dental Laboratory Technician providers in Maryland →

Registry record

NPI: 1184492068
Entity type: Organization
NPI issued: 19 Dec 2023
Record last updated: 19 Dec 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.