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Organization

SMILE SOLUTIONS OF BALTIMORE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL FENLON (BUSINESS MANAGER)
(410) 377-2000
Entity
Organization

Contact information

Practice address
6601 YORK RD, BALTIMORE, MD 21212-2032
(410) 377-2000
(410) 377-2145
Mailing address
6601 YORK RD, BALTIMORE, MD 21212-2032
(410) 377-2000
(410) 377-2145

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
261QD0000X
Dental Clinic/Center
14912
MD

Other

Enumeration date
06/28/2018
Last updated
11/19/2024
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