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Organization

SUITLAND DENTAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DEZRIE CELESTINE SMITH DDS (DR./GENERAL DENTIST)
(301) 568-8991
Entity
Organization

Contact information

Practice address
4814 SILVER HILL RD, SUITLAND, MD 20746-1758
(301) 568-8991
Mailing address
4814 SILVER HILL RD, SUITLAND, MD 20746-1758
(301) 568-8991

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10897
MD

Other

Enumeration date
06/27/2011
Last updated
06/27/2011
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