NPI | 1588954366 |
---|---|
Doing Business As | FAMILY DENTISTRY OF LAUREL |
Entity Type | Organization |
Authorized Contact | JUN TAE BAE Doctor 301-490-8200 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 11589) |
Enumeration Date | 2011-04-13 |
Last Update Date | 2011-04-13 |