Fusion Dental

NPI #1750757597 in Laurel, Maryland

Provider Information

NPI Number: 1750757597
Entity Type: Organization
Organization Name: Fusion Dental
Primary Specialty: Dentist
Enumeration Date: Aug 17, 2015
Last Updated: Aug 17, 2015

Practice Location

Address: 14722 BALTIMORE AVE
Address 2: SUITE 103
City: Laurel
State: Maryland
ZIP Code: 20707-4872
Phone: (301) 843-9330

Authorized Official

Name: MRS. CHRISTI KALIN LATHROP
Title: INSURANCE COORDINATOR
Phone: (301) 645-1344

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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