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Organization
FAMILY LASER DENTISTRY LLC
Active
Organization
FAMILY LASER DENTISTRY LLC
Active
Other names
Family Laser Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
ISHTIAQ ROUF (MANAGER)
(617) 817-0681
Entity
Organization
Contact information
Practice address
877 BALTIMORE ANNAPOLIS BLVD STE 305, SEVERNA PARK, MD 21146-4739
(410) 975-9331
Mailing address
877 BALTIMORE ANNAPOLIS BLVD STE 305, SEVERNA PARK, MD 21146-4739
(410) 975-9331
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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