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Organization
SMILE DENTAL STUDIO, LLC.
Active
Organization
SMILE DENTAL STUDIO, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LILI GHAZAI DDS (OWNER)
(301) 825-9245
Entity
Organization
Contact information
Practice address
15215 SHADY GROVE RD STE 103, ROCKVILLE, MD 20850-6298
(301) 825-9245
(301) 296-6199
Mailing address
15215 SHADY GROVE RD STE 103, ROCKVILLE, MD 20850-6298
(301) 825-9245
(301) 296-6199
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013259400
—
MD
Enumeration date
05/20/2025
Last updated
05/20/2025
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