Organization
SMILE LOFT BETHESDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VAIBHAV RAI DDS (OWNER)
(301) 264-5015
Entity
Organization
Contact information
Practice address
7201 WISCONSIN AVE, SUITE 370, BETHESDA, MD 20814-4810
(301) 264-5015
(301) 264-5014
Mailing address
7201 WISCONSIN AVE, SUITE 370, BETHESDA, MD 20814-4810
(301) 264-5015
(301) 264-5014
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14982
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057073700
—
MD
Enumeration date
08/04/2016
Last updated
08/04/2016
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