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Organization
BIGSMILE INC.
Active
Organization
BIGSMILE INC.
Active
Other names
Big Smile Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARTER MILAN WALLER DMD (OWNER DENTIST)
(561) 901-4700
Entity
Organization
Contact information
Practice address
1315 EMANCIPATION HWY, FREDERICKSBURG, VA 22401-4640
(540) 899-1777
(540) 899-2266
Mailing address
1315 EMANCIPATION HWY, FREDERICKSBURG, VA 22401-4640
(540) 899-1777
(540) 899-2266
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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