Organization
SMILE LOFT LANDOVER DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VAIBHAV RAI DDS (OWNER)
(301) 577-6333
Entity
Organization
Contact information
Practice address
7101 ANNAPOLIS RD, LANDOVER HILLS, MD 20784-2129
(301) 577-6333
Mailing address
7101 ANNAPOLIS RD, LANDOVER HILLS, MD 20784-2129
(301) 577-6333
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046068200
—
MD
Enumeration date
03/09/2021
Last updated
03/09/2021
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