| Dc Pediatric Smiles Llc | |
|
5640 Shields Dr Bethesda MD 20817-3573 | |
| (301) 363-9026 | |
| (301) 363-9669 |
| Full Name | Dc Pediatric Smiles Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5640 Shields Dr, Bethesda, Maryland |
| Authorized Official Name and Position | Derek Blank (PRESIDENT) |
| Authorized Official Contact | 3013639026 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dc Pediatric Smiles Llc 5640 Shields Dr Bethesda MD 20817-3573 Ph: (301) 363-9026 | Dc Pediatric Smiles Llc 5640 Shields Dr Bethesda MD 20817-3573 Ph: (301) 363-9026 |
| NPI Number | 1124798095 |
|---|---|
| Provider Enumeration Date | 09/14/2021 |
| Last Update Date | 09/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124798095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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