Organization
DC PEDIATRIC SMILES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK BLANK DDS (PRESIDENT)
(301) 363-9026
Entity
Organization
Contact information
Practice address
5640 SHIELDS DR, BETHESDA, MD 20817-3573
(301) 363-9026
(301) 363-9669
Mailing address
5640 SHIELDS DR, BETHESDA, MD 20817-3573
(301) 363-9026
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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