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
1223G0001X
General Practice Dentistry
—
—
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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