Individual
DR. LAURA A PERELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
521 E JOPPA RD, SUITE 200, TOWSON, MD 21286-5419
(410) 828-4544
(410) 828-4544
Mailing address
521 E JOPPA RD, SUITE 200, TOWSON, MD 21286-5419
(410) 828-4544
(410) 828-4544
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
9983
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V450
BLUE SHIELD OF MD
MD
Enumeration date
03/16/2007
Last updated
07/08/2007
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