Organization
SMILE LOFT BRANCH AVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KASHYAP D. PATEL DDS (DENTIST)
(301) 899-1188
Entity
Organization
Contact information
Practice address
4710 AUTH PL, SUITLAND, MD 20746-4223
(301) 899-1188
Mailing address
4710 AUTH PL, SUITLAND, MD 20746-4223
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15582
MD
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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