Organization
SMILE FREDERICK LLC
Active
Organization
SMILE FREDERICK LLC
Active
Other names
Smile Frederick Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MANSMAN DDS (OWNER DOCTOR)
(301) 668-2662
Entity
Organization
Contact information
Practice address
7360 GUILFORD DR, FREDERICK, MD 21704-5124
(301) 668-2662
Mailing address
7360 GUILFORD DR, FREDERICK, MD 21704-5124
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
06/10/2013
Last updated
06/10/2013
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