Organization
MY KIDS DENTAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SACHA WALTERS CARGILL DDS (DENTIST/OWNER)
(240) 670-4780
Entity
Organization
Contact information
Practice address
10801 LOCKWOOD DR STE 205, SILVER SPRING, MD 20901-1563
(240) 670-4780
Mailing address
10801 LOCKWOOD DR STE 205, SILVER SPRING, MD 20901-1563
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538313481
INDIVIDUAL NPI
—
Enumeration date
02/02/2022
Last updated
02/02/2022
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