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Organization
SANDY SPRING SMILES
Active
Organization
SANDY SPRING SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REESE RUDER DDS (DENTIS/CO-OWNER)
(850) 624-9717
Entity
Organization
Contact information
Practice address
605 OLNEY SANDY SPRING RD, SANDY SPRING, MD 20860-1012
(301) 774-8555
Mailing address
605 OLNEY SANDY SPRING RD, SANDY SPRING, MD 20860-1012
(301) 774-8555
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336542398
NPI
FL
01
—
1861807802
NPI
FL
Enumeration date
08/09/2024
Last updated
08/22/2024
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