Organization
SMILE LOFT MIDDLE RIVER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VAIBHAV RAI DDS (OWNER/MEMBER)
(610) 216-0339
Entity
Organization
Contact information
Practice address
1390 MARTIN BLVD, MIDDLE RIVER, MD 21220-4104
(410) 610-3071
Mailing address
12116 DARNESTOWN RD STE L1, NORTH POTOMAC, MD 20878-2227
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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