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Organization

NUSMILES ORTHODONTICS

Active
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Organization

NUSMILES ORTHODONTICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALICE C WANG DMD, MS (PRESIDENT)
(410) 630-8189
Entity
Organization

Contact information

Practice address
5900 WATERLOO RD, #220, COLUMBIA, MD 21045-2630
(410) 630-8189
(410) 618-1078
Mailing address
5900 WATERLOO RD, #220, COLUMBIA, MD 21045-2630
(410) 630-8189
(410) 618-1078

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
15419
MD

Other

Enumeration date
06/14/2015
Last updated
06/14/2015
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