Organization
LUXE DENTAL CARE LLC
Active
Organization
LUXE DENTAL CARE LLC
Active
Other names
J.A.K. LLC
Organization subpart
No
Provider details
NPI number
Authorized official
AISHA SADAF DDS (OWNER)
(443) 949-2298
Entity
Organization
Contact information
Practice address
352 THOMPSON CREEK MALL, STEVENSVILLE, MD 21666-2500
(410) 934-0123
(410) 934-0124
Mailing address
352 THOMPSON CREEK MALL, STEVENSVILLE, MD 21666-2500
(410) 934-0123
(410) 934-0124
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
12683
MD
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
14374
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
058463100
—
MD
05
—
071636700
—
MD
05
—
086220700
—
MD
05
—
415749400
—
MD
Enumeration date
07/20/2015
Last updated
08/21/2023
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