Brite Smile Dental Group, P.c. | |
10176 Baltimore National Pike Ste 207 Ellicott City MD 21042-3652 | |
(410) 443-5584 | |
Not Available |
Full Name | Brite Smile Dental Group, P.c. |
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Speciality | Clinic/center - Dental |
Location | 10176 Baltimore National Pike Ste 207, Ellicott City, Maryland |
Authorized Official Name and Position | Jaewon Yoon (OWNER) |
Authorized Official Contact | 4104435584 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Brite Smile Dental Group, P.c. 10176 Baltimore National Pike Ste 207 Ellicott City MD 21042-3652 Ph: (410) 443-5584 | Brite Smile Dental Group, P.c. 10176 Baltimore National Pike Ste 207 Ellicott City MD 21042-3652 Ph: (410) 443-5584 |
NPI Number | 1942634571 |
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Provider Enumeration Date | 08/30/2013 |
Last Update Date | 08/30/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942634571 | NPI | - | NPPES |
026866600 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 14679 (Maryland) | Primary |
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