Organization
KREISHEH,, LLC
Active
Other names
Charm City Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE KREISHEH DMD (DENTIST)
(410) 913-5700
Entity
Organization
Contact information
Practice address
21 E PADONIA RD, LUTHERVILLE TIMONIUM, MD 21093-2306
(410) 913-5700
(410) 842-0205
Mailing address
21 E PADONIA RD, LUTHERVILLE TIMONIUM, MD 21093-2306
(410) 913-5700
(410) 842-0205
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
907707300
—
MD
Enumeration date
07/29/2020
Last updated
07/29/2020
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