| Family Dentistry Of Laurel | |
|
13974 Baltimore Ave Laurel MD 20707-5086 | |
| (301) 490-8200 | |
| (301) 490-4300 |
| Full Name | Family Dentistry Of Laurel |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13974 Baltimore Ave, Laurel, Maryland |
| Authorized Official Name and Position | Jun Tae Bae (DOCTOR) |
| Authorized Official Contact | 3014908200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dentistry Of Laurel 13974 Baltimore Ave Laurel MD 20707-5086 Ph: (301) 490-8200 | Family Dentistry Of Laurel 13974 Baltimore Ave Laurel MD 20707-5086 Ph: (301) 490-8200 |
| NPI Number | 1588954366 |
|---|---|
| Provider Enumeration Date | 04/13/2011 |
| Last Update Date | 04/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588954366 | NPI | - | NPPES |
| 013172500 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 11589 (Maryland) | Primary |
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