Organization
SMILE UP DENTAL CENTER
Active
Other names
Glen Burnie Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
NADER AFGAN (OWNER)
(240) 899-4211
Entity
Organization
Contact information
Practice address
100 CRAIN HWY S, GLEN BURNIE, MD 21061-3528
(410) 969-9300
(410) 969-9311
Mailing address
100 CRAIN HWY S, GLEN BURNIE, MD 21061-3528
(410) 969-9300
(410) 969-9311
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111047100
—
MD
Enumeration date
05/17/2016
Last updated
05/27/2021
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