Charming Smiles Family Dentistry | |
14333 Laurel Bowie Rd Ste 307 Laurel MD 20708-1183 | |
(301) 317-9020 | |
Not Available |
Full Name | Charming Smiles Family Dentistry |
---|---|
Speciality | Dentist - General Practice |
Location | 14333 Laurel Bowie Rd Ste 307, Laurel, Maryland |
Authorized Official Name and Position | Natalie G. Kelley (OWNER) |
Authorized Official Contact | 3013179020 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Charming Smiles Family Dentistry Po Box 1257 Laurel MD 20725-1257 Ph: (301) 317-9020 | Charming Smiles Family Dentistry 14333 Laurel Bowie Rd Ste 307 Laurel MD 20708-1183 Ph: (301) 317-9020 |
NPI Number | 1104319029 |
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Provider Enumeration Date | 06/14/2018 |
Last Update Date | 06/14/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104319029 | NPI | - | NPPES |
031398000 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 14418 (Maryland) | Primary |
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