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Organization
LAUREL DENTAL SMILE LLC
Active
Organization
LAUREL DENTAL SMILE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANETTE RENE LAROSE DDS (GENERAL DENTIST)
(301) 902-7099
Entity
Organization
Contact information
Practice address
205 GORMAN AVE, LAUREL, MD 20707-4601
(301) 902-7099
(443) 458-0672
Mailing address
205 GORMAN AVE, LAUREL, MD 20707-4601
(301) 902-7099
(443) 458-0672
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/19/2024
Last updated
08/05/2024
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