Organization
LARGO BRIGHT SMILES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LASHAWN QUICK (OFFICE MANAGER)
(301) 350-0222
Entity
Organization
Contact information
Practice address
10484 CAMPUS WAY SOUTH, UPPER MARLBORO, MD 20774
(301) 350-0222
Mailing address
10484 CAMPUS WAY SOUTH, UPPER MARLBORO, MD 20774
(301) 350-0222
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13705
MD
1223G0001X
General Practice Dentistry
13741
MD
Other
Enumeration date
11/20/2015
Last updated
11/20/2015
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