Organization
CEDAR SMILES DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OQBA TUJJAR DMD (OWNER)
(443) 722-9371
Entity
Organization
Contact information
Practice address
10910 LITTLE PATUXENT PARKWAY, SUITE 206, COLUMBIA, MD 21044
(443) 722-9371
Mailing address
10910 LITTLE PATUXENT PARKWAY, SUITE 206, COLUMBIA, MD 21044
(443) 722-9371
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039661300
—
MD
Enumeration date
09/20/2018
Last updated
09/20/2018
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