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Organization
MD LASER SURGERY CENTER, LLC
Active
Organization
MD LASER SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLEMENT S. K. BANDA MD (OWNER)
(443) 283-0600
Entity
Organization
Contact information
Practice address
7120 MINSTREL WAY, SUITE 103, COLUMBIA, MD 21045-5248
(410) 312-5248
(443) 283-0399
Mailing address
7120 MINSTREL WAY STE 103, COLUMBIA, MD 21045-5274
(410) 312-5248
(443) 283-0399
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A1546
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
549651
JOINT COMMISSION ACCR. ORG. ID
—
01
—
A1546
STATE LICENSE
MD
Enumeration date
03/04/2013
Last updated
09/19/2025
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