Organization
PS DENTAL DC 1, P.C.
Active
Parent organization
PROSMILE HOLDING II LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROSMILE HOLDING II LLC
Authorized official
MRS. SIMONE WILSON MPA (DIRECTOR OF CREDENTIALING)
(848) 326-8840
Entity
Organization
Contact information
Practice address
4740 CONNECTICUT AVE NW APT 102, WASHINGTON, DC 20008-5604
(410) 761-0095
(202) 364-3274
Mailing address
10 WOODBRIDGE CENTER DR STE 520, WOODBRIDGE, NJ 07095-1152
(848) 326-8840
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
11/10/2025
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