Organization
SMILES R US PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMAN RADPRAVAR (PRESIDENT)
(443) 621-2971
Entity
Organization
Contact information
Practice address
5450 REISTERSTOWN RD, BALTIMORE, MD 21215-4434
(443) 621-2971
Mailing address
6521 GARDENWICK RD, BALTIMORE, MD 21209-2537
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14116
MD
Other
Enumeration date
01/18/2013
Last updated
01/18/2013
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