Organization
CONFIDENT SMILES OF WALDORF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. QASIYM GILLIAM DDS (OWNER)
(301) 843-0277
Entity
Organization
Contact information
Practice address
11865 FEDERAL SQ STE 102, WALDORF, MD 20602-3226
(301) 645-2211
Mailing address
11865 FEDERAL SQ STE 102, WALDORF, MD 20602-3226
(301) 645-2211
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
15394
MD
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
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