Organization
PRISTINE SMILES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAVNEET DHALIWAL DDS (DENTIST/OWNER)
(408) 561-3041
Entity
Organization
Contact information
Practice address
11300 ROCKVILLE PIKE STE 1013, ROCKVILLE, MD 20852-3039
(408) 561-3041
Mailing address
12620 GREENBRIAR RD, POTOMAC, MD 20854-6330
(408) 561-3041
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
16623
MD
261QD0000X
Dental Clinic/Center
16623
MD
Other
Enumeration date
07/05/2018
Last updated
01/27/2021
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