Organization
GROWING SMILES WHITE MARSH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA CAPOBIANCO D.D.S. (PARTNER)
(410) 697-9000
Entity
Organization
Contact information
Practice address
11570 CROSSROADS CIR, SUITE 116, MIDDLE RIVER, MD 21220-2861
(410) 697-9000
Mailing address
11570 CROSSROADS CIR, SUITE 116, MIDDLE RIVER, MD 21220-2861
(410) 697-9000
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12180
MD
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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