Organization
EXCITE DENTAL OF LAUREL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY SONG MOON DDS (OWNER)
(301) 379-5858
Entity
Organization
Contact information
Practice address
3569 RUSSETT GREEN EAST, SUITE 104-105, LAUREL, MD 20724
(240) 547-1999
(240) 547-1966
Mailing address
820 NELL DR, SYKESVILLE, MD 21784-8094
(301) 379-5858
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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