Organization
LAUREL BUSH FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARCIA LYNN KOONTZ (OFFICE MANAGER)
(443) 512-8703
Entity
Organization
Contact information
Practice address
2111 LAUREL BUSH RD, STE E, BEL AIR, MD 21015
(443) 512-8703
(410) 515-1067
Mailing address
2111 LAUREL BUSH RD, STE E, BEL AIR, MD 21015
(443) 512-8703
(410) 515-1067
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10773
MD
Other
Enumeration date
02/13/2007
Last updated
08/22/2020
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