Organization
WE MAKE KIDS SMILE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELIX J AGUTO III DDS (LLC MEMBER)
(410) 963-0015
Entity
Organization
Contact information
Practice address
3460 OLD WASHINGTON RD STE 200, WALDORF, MD 20602-3242
(301) 645-6556
(301) 638-3131
Mailing address
1511 MILLERS WAY, PORT REPUBLIC, MD 20676-3113
(410) 586-3150
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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