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Laurel Pediatric Dentistry

NPI #1053715268 in Laurel, Maryland

Provider Information

NPI Number
1053715268
Entity Type
Organization
Organization Name
Laurel Pediatric Dentistry
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Oct 17, 2014
Last Updated
Oct 17, 2014

Practice Location

Address
13916 BALTIMORE AVE
City
Laurel
State
Maryland
ZIP Code
20707-5009
Phone
(301) 498-6511

Authorized Official

Name
DR. MICHELLE STOVALL, DDS
Title
PEDIATRIC DENTISTRY
Phone
(240) 441-2193

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric Dentistry — Pediatric Dentistry

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