Organization
NICOLE C. FOREL DDS, LLC
Active
Other names
Light Street Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE CELESTE FOREL DDS (MANAGER)
(410) 659-0901
Entity
Organization
Contact information
Practice address
600 LIGHT ST, BALTIMORE, MD 21230-3856
(410) 659-0900
(410) 659-0902
Mailing address
10 W MONTGOMERY ST, BALTIMORE, MD 21230-3806
(410) 783-1340
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13598
MD
Other
Enumeration date
06/28/2011
Last updated
06/28/2011
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