Organization
MAGICAL SMILES MARYLAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARIA C MCCLURE (OFFICE MANAGER)
(410) 398-7711
Entity
Organization
Contact information
Practice address
230 S BRIDGE ST, SUITE A, ELKTON, MD 21921-5915
(410) 398-7711
(410) 398-7999
Mailing address
230 S BRIDGE ST, SUITE A, ELKTON, MD 21921-5915
(410) 398-7711
(410) 398-7999
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12478
MD
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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