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Organization

SUPER SMILE CENTER OF BETHESDA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMISHA SHROFF DDS (DENTIST)
(301) 469-4775
Entity
Organization

Contact information

Practice address
10320 WESTLAKE DR., SUITE# 109, BETHESDA, MD 20817
(301) 469-4775
(301) 469-4776
Mailing address
10320 WESTLAKE DR., SUITE# 109, BETHESDA, MD 20817
(301) 469-4775
(301) 469-4776

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
02/05/2020
Last updated
02/05/2020
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