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Organization

MILES OF SMILES DENTAL ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SAMMY S NOUMBISSI D.D.S., M.S. (OWNER)
(301) 317-9020
Entity
Organization

Contact information

Practice address
14333 LAUREL BOWIE RD, SUITE # 307, LAUREL, MD 20708-1126
(301) 317-9020
(301) 317-0282
Mailing address
14333 LAUREL BOWIE RD, SUITE # 307, LAUREL, MD 20708-1126
(301) 317-9020
(301) 317-0282

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12911
MD

Other

Enumeration date
05/14/2008
Last updated
05/14/2008
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