Organization
SMILE LOFT AFFINITY DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VAIBHAV RAI DDS (MEMBER)
(610) 216-0339
Entity
Organization
Contact information
Practice address
4 E ROLLING XRDS STE 205, CATONSVILLE, MD 21228-6281
(410) 719-7900
Mailing address
4 E ROLLING XRDS STE 205, CATONSVILLE, MD 21228-6281
(410) 719-7900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046068200
—
MD
Enumeration date
04/22/2021
Last updated
04/22/2021
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