| Fusion Dental | |
|
14722 Baltimore Ave Suite 103 Laurel MD 20707-4872 | |
| (301) 843-9330 | |
| Not Available |
| Full Name | Fusion Dental |
|---|---|
| Speciality | Dentist |
| Location | 14722 Baltimore Ave, Laurel, Maryland |
| Authorized Official Name and Position | Christi Kalin Lathrop (INSURANCE COORDINATOR) |
| Authorized Official Contact | 3016451344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fusion Dental 14722 Baltimore Ave Suite 103 Laurel MD 20707-4872 Ph: () - | Fusion Dental 14722 Baltimore Ave Suite 103 Laurel MD 20707-4872 Ph: (301) 843-9330 |
| NPI Number | 1750757597 |
|---|---|
| Provider Enumeration Date | 08/17/2015 |
| Last Update Date | 08/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750757597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 10965 (Maryland) | Primary |
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