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Organization
AEGIS DENTAL GROUP LLC (DBA SMILES4ALL)
Active
Organization
AEGIS DENTAL GROUP LLC (DBA SMILES4ALL)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICARDO ANTHONY HECTOR DDS (OWNER/ DENTIST)
(301) 310-4851
Entity
Organization
Contact information
Practice address
12092 ELL LN, WALDORF, MD 20602-3522
(301) 645-7777
Mailing address
12092 ELL LN, WALDORF, MD 20602-3522
(301) 645-7777
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13764
DENTAL LICENSE
MD
Enumeration date
05/24/2019
Last updated
05/24/2019
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