| Cedar Smiles Dental, Llc | |
|
10910 Little Patuxent Parkway Suite 206 Columbia MD 21044 | |
| (443) 722-9371 | |
| Not Available |
| Full Name | Cedar Smiles Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10910 Little Patuxent Parkway, Columbia, Maryland |
| Authorized Official Name and Position | Oqba Tujjar (OWNER) |
| Authorized Official Contact | 4437229371 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Smiles Dental, Llc 10910 Little Patuxent Parkway Suite 206 Columbia MD 21044 Ph: (443) 722-9371 | Cedar Smiles Dental, Llc 10910 Little Patuxent Parkway Suite 206 Columbia MD 21044 Ph: (443) 722-9371 |
| NPI Number | 1720562192 |
|---|---|
| Provider Enumeration Date | 09/20/2018 |
| Last Update Date | 09/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720562192 | NPI | - | NPPES |
| 039661300 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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