Organization
CHESAPEAKE SMILES
Active
Parent organization
R3 DENTAL GROUP LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
R3 DENTAL GROUP LLC
Authorized official
ALIREZA RAJAEI (OWNER)
(301) 438-1200
Entity
Organization
Contact information
Practice address
2288 BLUE WATER BLVD STE 420, ODENTON, MD 21113-3312
(410) 672-0000
Mailing address
2288 BLUE WATER BLVD STE 420, ODENTON, MD 21113-3312
(410) 672-0000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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