Organization
LAUREL LAKES COSMETIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL MELNICK D.D.S. (PRESIDENT)
(301) 498-6511
Entity
Organization
Contact information
Practice address
13916 BALTIMORE AVE, LAUREL, MD 20707-5009
(301) 498-6511
(301) 776-0054
Mailing address
13916 BALTIMORE AVE, LAUREL, MD 20707-5009
(301) 498-6511
(301) 776-0054
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7803
MD
Other
Enumeration date
02/20/2007
Last updated
08/22/2020
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