Organization
WWW SMILES, LLC
Active
Other names
Smile Design Studio
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TREVA EILEEN WILLIS D.D.S. (DENTIST/MEMBER)
(410) 913-1077
Entity
Organization
Contact information
Practice address
8201 WISCONSIN AVE, BETHESDA, MD 20814-3101
(301) 907-8201
(301) 907-8202
Mailing address
8201 WISCONSIN AVE, BETHESDA, MD 20814-3101
(301) 907-8201
(301) 907-8202
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12693
MD
122300000X
Dentist
14153
MD
1223P0700X
Prosthodontics
12460
MD
Other
Enumeration date
04/27/2009
Last updated
04/27/2009
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