Organization
SMILE LOFT - BOWIE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE RAI (OWNERS REPRESENTATIVE)
(410) 610-3071
Entity
Organization
Contact information
Practice address
3233 SUPERIOR LN STE B25B26, BOWIE, MD 20715-1920
(301) 262-3535
Mailing address
12116 DARNESTOWN RD STE L1, NORTH POTOMAC, MD 20878-2227
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/10/2023
Last updated
11/10/2023
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