Organization
SMILES BY DR BRAR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KANWARJIT S BRAR (OWNER)
(757) 609-1657
Entity
Organization
Contact information
Practice address
1301 MOUNT HERMON RD, SALISBURY, MD 21804-5219
(757) 609-1657
Mailing address
1301 MOUNT HERMON RD, SALISBURY, MD 21804-5219
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15328
DENTAL LIC
MD
Enumeration date
10/15/2021
Last updated
10/15/2021
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