| Park Center Family Dentistry | |
|
14207 Park Center Dr Ste 105 Laurel MD 20707-5248 | |
| (301) 776-9686 | |
| (301) 776-9680 |
| Full Name | Park Center Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 14207 Park Center Dr, Laurel, Maryland |
| Authorized Official Name and Position | Thailong Tran (MEMBER) |
| Authorized Official Contact | 3017769686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Center Family Dentistry 14207 Park Center Dr Ste 105 Laurel MD 20707-5248 Ph: (301) 776-9686 | Park Center Family Dentistry 14207 Park Center Dr Ste 105 Laurel MD 20707-5248 Ph: (301) 776-9686 |
| NPI Number | 1710420625 |
|---|---|
| Provider Enumeration Date | 11/25/2016 |
| Last Update Date | 11/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710420625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 16183 (Maryland) | Primary |
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