Organization
MARYLAND FAMILY DENTISTRY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANETTE R LAROSE DDS (OWNER)
(301) 899-6366
Entity
Organization
Contact information
Practice address
4400 STAMP RD, 201, TEMPLE HILLS, MD 20748-6716
(301) 899-6366
Mailing address
4400 STAMP RD, 201, TEMPLE HILLS, MD 20748-6716
(301) 899-6366
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12709
MD
Other
Enumeration date
05/08/2014
Last updated
05/08/2014
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