| Fdc - Maple Lawn | |
|
7500 Montpelier Rd Ste 108 Laurel MD 20723-6012 | |
| (301) 617-0880 | |
| (301) 617-0817 |
| Full Name | Fdc - Maple Lawn |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7500 Montpelier Rd Ste 108, Laurel, Maryland |
| Authorized Official Name and Position | Carmen Woods (INSURANCE/CREDENTIALING) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fdc - Maple Lawn 7500 Montpelier Rd Ste 108 Laurel MD 20723-6012 Ph: (301) 617-0880 | Fdc - Maple Lawn 7500 Montpelier Rd Ste 108 Laurel MD 20723-6012 Ph: (301) 617-0880 |
| NPI Number | 1154631075 |
|---|---|
| Provider Enumeration Date | 10/13/2010 |
| Last Update Date | 11/06/2021 |
| Certification Date | 11/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154631075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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