Provider Demographics
NPI:1124122528
Name:ZASLOW, MARC D (DDS)
Entity type:Individual
Prefix:DR
First Name:MARC
Middle Name:D
Last Name:ZASLOW
Suffix:
Gender:M
Credentials:DDS
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Mailing Address - Street 1:10 FILA WAY
Mailing Address - Street 2:SUITE 201B
Mailing Address - City:SPARKS
Mailing Address - State:MD
Mailing Address - Zip Code:21152
Mailing Address - Country:US
Mailing Address - Phone:410-472-9050
Mailing Address - Fax:410-472-9052
Practice Address - Street 1:10 FILA WAY
Practice Address - Street 2:SUITE 201B
Practice Address - City:SPARKS
Practice Address - State:MD
Practice Address - Zip Code:21152
Practice Address - Country:US
Practice Address - Phone:410-472-9050
Practice Address - Fax:410-472-9052
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-08
Last Update Date:2009-03-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD125501223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery