Organization
SMILE LOFT TOWNE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VAIBHAV RAI DDS (MEMBER)
(610) 216-0339
Entity
Organization
Contact information
Practice address
1003 4TH ST, LAUREL, MD 20707-3801
(301) 725-1002
Mailing address
11345 ALBERMYRTLE RD, POTOMAC, MD 20854-1403
(610) 216-0339
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/11/2022
Last updated
04/11/2022
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