| Laurel Bush Family Dentistry | |
|
2111 Laurel Bush Rd Ste E Bel Air MD 21015 | |
| (443) 512-8703 | |
| (410) 515-1067 |
| Full Name | Laurel Bush Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2111 Laurel Bush Rd, Bel Air, Maryland |
| Authorized Official Name and Position | Marcia Lynn Koontz (OFFICE MANAGER) |
| Authorized Official Contact | 4435128703 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laurel Bush Family Dentistry 2111 Laurel Bush Rd Ste E Bel Air MD 21015 Ph: (443) 512-8703 | Laurel Bush Family Dentistry 2111 Laurel Bush Rd Ste E Bel Air MD 21015 Ph: (443) 512-8703 |
| NPI Number | 1326180324 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326180324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 10773 (Maryland) | Primary |
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