Organization
FUSION DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTI KALIN LATHROP (INSURANCE COORDINATOR)
(301) 645-1344
Entity
Organization
Contact information
Practice address
14722 BALTIMORE AVE, SUITE 103, LAUREL, MD 20707-4872
(301) 843-9330
Mailing address
14722 BALTIMORE AVE, SUITE 103, LAUREL, MD 20707-4872
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10965
MD
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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