Organization
LIGHTHOUSE KIDS DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAIDER ALSHAMI DDS (DENTIST/OWNER)
(410) 428-9595
Entity
Organization
Contact information
Practice address
203 S WASHINGTON ST FL 1, HAVRE DE GRACE, MD 21078-3244
(443) 214-2434
Mailing address
203 S WASHINGTON ST FL 1, HAVRE DE GRACE, MD 21078-3244
(443) 214-2434
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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