Organization
FOGGY BOTTOM DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN LAURENCE DDS, PHD (OWNER)
(571) 309-0308
Entity
Organization
Contact information
Practice address
3934 LEGATION ST NW, WASHINGTON, DC 20015-2916
(571) 309-0308
Mailing address
3934 LEGATION ST NW, WASHINGTON, DC 20015-2916
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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