| Excite Dental Of Laurel | |
|
3569 Russett Green East Suite 104-105 Laurel MD 20724 | |
| (240) 547-1999 | |
| (240) 547-1966 |
| Full Name | Excite Dental Of Laurel |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3569 Russett Green East, Laurel, Maryland |
| Authorized Official Name and Position | Jay Song Moon (OWNER) |
| Authorized Official Contact | 3013795858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Excite Dental Of Laurel 820 Nell Dr Sykesville MD 21784-8094 Ph: (301) 379-5858 | Excite Dental Of Laurel 3569 Russett Green East Suite 104-105 Laurel MD 20724 Ph: (240) 547-1999 |
| NPI Number | 1457181331 |
|---|---|
| Provider Enumeration Date | 08/05/2024 |
| Last Update Date | 08/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457181331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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