Organization
DIVINE SMILES DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROCHELLE NUNEZ (MEMBER)
(301) 613-3211
Entity
Organization
Contact information
Practice address
8001 WISCONSIN AVE, SUITE 103, BETHESDA, MD 20814-3602
(301) 613-3211
Mailing address
8001 WISCONSIN AVE, SUITE 103, BETHESDA, MD 20814-3602
(301) 613-3211
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13779
MD
Other
Enumeration date
07/19/2011
Last updated
07/19/2011
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