Organization
GROWING SMILES P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANA M CAPOBIANCO DDS (PRESIDENT)
(410) 569-6700
Entity
Organization
Contact information
Practice address
2012 S TOLLGATE RD, SUITE 212, BEL AIR, MD 21015-5900
(410) 569-6700
(410) 569-6718
Mailing address
2012 S TOLLGATE RD, SUITE 212, BEL AIR, MD 21015-5900
(410) 569-6700
(410) 569-6718
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12180
MD
Other
Enumeration date
07/16/2007
Last updated
07/16/2007
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