Organization
SMILE STREET DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMBER T ROYAL DDS (CEO)
(202) 569-6708
Entity
Organization
Contact information
Practice address
6618A SECURITY BLVD, WOODLAWN, MD 21207-4010
(410) 575-1833
(410) 803-5297
Mailing address
6618A SECURITY BLVD, WOODLAWN, MD 21207-4010
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/27/2020
Last updated
02/19/2020
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