Organization
PORTABLE SMILES MOBILE DMV
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA SOTELO (OFFICE MANAGER)
(313) 790-0094
Entity
Organization
Contact information
Practice address
127 BOOKHAM LN, GAITHERSBURG, MD 20877-3787
(734) 260-2601
Mailing address
127 BOOKHAM LN, GAITHERSBURG, MD 20877-3787
(734) 260-2601
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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