| Laurel Lakes Cosmetic Dentistry | |
|
13916 Baltimore Ave Laurel MD 20707-5009 | |
| (301) 498-6511 | |
| Not Available |
| Full Name | Laurel Lakes Cosmetic Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 13916 Baltimore Ave, Laurel, Maryland |
| Authorized Official Name and Position | Michelle Stovall (PEDIATRIC DENTISTRY) |
| Authorized Official Contact | 2404412193 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laurel Lakes Cosmetic Dentistry 13916 Baltimore Ave Laurel MD 20707-5009 Ph: (301) 498-6511 | Laurel Lakes Cosmetic Dentistry 13916 Baltimore Ave Laurel MD 20707-5009 Ph: (301) 498-6511 |
| NPI Number | 1053715268 |
|---|---|
| Provider Enumeration Date | 10/17/2014 |
| Last Update Date | 10/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053715268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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