Organization
SMILE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN C. GRANGER DDS (MANAGING MEMBER/OWNER)
(615) 480-5562
Entity
Organization
Contact information
Practice address
1100 1ST ST SE APT 603, WASHINGTON, DC 20003-4712
(615) 480-5562
Mailing address
736 BLEAK HILL PL, UPPER MARLBORO, MD 20774-8863
(615) 480-5562
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
DEN1000983
—
Other
Enumeration date
07/20/2012
Last updated
07/20/2012
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