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Laurel Lakes Pediatric Dentistry, LLC

NPI #1649717638 in Laurel, Maryland

Provider Information

NPI Number
1649717638
Entity Type
Organization
Organization Name
Laurel Lakes Pediatric Dentistry, LLC
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Jan 27, 2017
Last Updated
Jul 20, 2018

Practice Location

Address
13964 BALTIMORE AVE
Address 2
SUITE C6
City
Laurel
State
Maryland
ZIP Code
20707
Phone
(202) 276-0649

Authorized Official

Name
ANTIONETTE C. WILSON, DDS
Title
OWNER
Phone
(202) 276-0649

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric Dentistry — Pediatric Dentistry

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