# SMILE LOFT BRANCH AVE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114322658
- **Authorized official:** DR. KASHYAP D. PATEL DDS (DENTIST)
- **Authorized official phone:** (301) 899-1188

## Contact information

- **Practice address:** 4710 AUTH PL, SUITLAND, MD 20746-4223
- **Practice address phone:** (301) 899-1188
- **Mailing address:** 4710 AUTH PL, SUITLAND, MD 20746-4223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 15582 | MD | Yes |

## Other

- **Enumeration date:** 10/27/2014
- **Last updated:** 10/27/2014