Organization
BRITE SMILE DENTAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAEWON YOON DMD (OWNER)
(410) 443-5584
Entity
Organization
Contact information
Practice address
10176 BALTIMORE NATIONAL PIKE STE 207, ELLICOTT CITY, MD 21042-3652
(410) 443-5584
Mailing address
10176 BALTIMORE NATIONAL PIKE STE 207, ELLICOTT CITY, MD 21042-3652
(410) 443-5584
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
14679
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026866600
—
MD
Enumeration date
08/30/2013
Last updated
08/30/2013
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