Organization
TANAGER FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA PYUN DDS (OWNER, GENERAL DENTIST)
(443) 896-0002
Entity
Organization
Contact information
Practice address
10203 TANAGER LN STE 101, COLUMBIA, MD 21044-4171
(443) 896-0002
(443) 896-0012
Mailing address
10203 TANAGER LN STE 101, COLUMBIA, MD 21044-4171
(443) 896-0002
(443) 896-0012
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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