| Confident Smiles Of Waldorf Llc | |
|
11865 Federal Sq Ste 102 Waldorf MD 20602-3226 | |
| (301) 645-2211 | |
| Not Available |
| Full Name | Confident Smiles Of Waldorf Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11865 Federal Sq Ste 102, Waldorf, Maryland |
| Authorized Official Name and Position | Qasiym Gilliam (OWNER) |
| Authorized Official Contact | 3018430277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Confident Smiles Of Waldorf Llc 11865 Federal Sq Ste 102 Waldorf MD 20602-3226 Ph: (301) 645-2211 | Confident Smiles Of Waldorf Llc 11865 Federal Sq Ste 102 Waldorf MD 20602-3226 Ph: (301) 645-2211 |
| NPI Number | 1740777325 |
|---|---|
| Provider Enumeration Date | 04/18/2018 |
| Last Update Date | 04/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740777325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 15394 (Maryland) | Primary |
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