Organization
SOUL SMILES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT HATHAWAY DDS (OWNER/DENTIST)
(301) 523-0939
Entity
Organization
Contact information
Practice address
8730 GEORGIA AVE STE 308, SILVER SPRING, MD 20910-3650
(240) 335-7685
Mailing address
8730 GEORGIA AVE STE 308, SILVER SPRING, MD 20910-3650
(240) 335-7685
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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