Organization
SMILE PARK DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL Y PARK DMD (DR)
(410) 721-5000
Entity
Organization
Contact information
Practice address
1702 TRANSPORTATION BLVD STE F, CROFTON, MD 21114-2151
(410) 721-5000
Mailing address
1702 TRANSPORTATION BLVD STE F, CROFTON, MD 21114-2151
(410) 721-5000
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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