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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