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Organization

LASER PODIATRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER MULLENDORE DPM (OWNER)
(301) 829-5111
Entity
Organization

Contact information

Practice address
1001 TWIN ARCH RD, SUITE B3, MOUNT AIRY, MD 21771-4138
(301) 829-5111
Mailing address
1001 TWIN ARCH RD, SUITE B3, MOUNT AIRY, MD 21771-4138
(301) 829-5111

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
01423
MD

Other

Enumeration date
09/18/2015
Last updated
09/18/2015
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