Organization
KIDS SUPER SMILE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. XIMENA PAREJA DDS (OFFICER)
(410) 953-0111
Entity
Organization
Contact information
Practice address
8600 SNOWDEN RIVER PKWY, 302, COLUMBIA, MD 21045-1982
(410) 953-0111
(410) 953-0193
Mailing address
8600 SNOWDEN RIVER PKWY, 302, COLUMBIA, MD 21045-1982
(410) 953-0111
(410) 953-0193
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12833
MD
Other
Enumeration date
01/17/2013
Last updated
01/17/2013
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