Organization
SMILELOFT LANDOVER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSHAN JARDOSH (DENTIST/OWNER)
(301) 577-6333
Entity
Organization
Contact information
Practice address
7101 ANNAPOLIS RD, LANDOVER HILLS, MD 20784-2129
(301) 577-6333
Mailing address
7101 ANNAPOLIS RD, LANDOVER HILLS, MD 20784-2129
(301) 577-6333
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15036
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056004900
—
MD
Enumeration date
12/12/2016
Last updated
12/12/2016
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