Chesapeake Smiles, Llc | |
2288 Blue Water Blvd Suite 420 Odenton MD 21113-3309 | |
(410) 672-0000 | |
(443) 645-0214 |
Full Name | Chesapeake Smiles, Llc |
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Speciality | Dentist - General Practice |
Location | 2288 Blue Water Blvd, Odenton, Maryland |
Authorized Official Name and Position | Oqba Tujjar (PRESIDENT) |
Authorized Official Contact | 4106720000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Chesapeake Smiles, Llc 2288 Blue Water Blvd Suite 420 Odenton MD 21113-3309 Ph: (410) 672-0000 | Chesapeake Smiles, Llc 2288 Blue Water Blvd Suite 420 Odenton MD 21113-3309 Ph: (410) 672-0000 |
NPI Number | 1730463456 |
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Provider Enumeration Date | 09/29/2011 |
Last Update Date | 09/29/2011 |
Identifier | Type | State | Issuer |
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1730463456 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 13059 (Maryland) | Primary |
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