Organization
LAUREL PINES DENTAL 100 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARSHAD SAMADNEJAD DDS (OWNER/GENERAL DENTIST)
(301) 953-3081
Entity
Organization
Contact information
Practice address
14333 LAUREL BOWIE RD STE 100, LAUREL, MD 20708-1149
(301) 953-3081
(301) 725-4885
Mailing address
14333 LAUREL BOWIE RD STE 100, LAUREL, MD 20708-1149
(301) 953-3081
(301) 725-4885
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15535
MD
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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