| Delmarva Smile Corner, Llc | |
|
213 Maryland Ave. Salisbury MD 21801 | |
| (410) 937-3332 | |
| (410) 879-3701 |
| Full Name | Delmarva Smile Corner, Llc |
|---|---|
| Speciality | Dentist |
| Location | 213 Maryland Ave., Salisbury, Maryland |
| Authorized Official Name and Position | Nahid Z. Shahry (OWNER/DENTIST) |
| Authorized Official Contact | 4109373332 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Delmarva Smile Corner, Llc 1112 Janice Ct. Joppa MD 21085 Ph: (410) 937-3332 | Delmarva Smile Corner, Llc 213 Maryland Ave. Salisbury MD 21801 Ph: (410) 937-3332 |
| NPI Number | 1760934665 |
|---|---|
| Provider Enumeration Date | 10/27/2016 |
| Last Update Date | 10/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760934665 | NPI | - | NPPES |
| 1114251030 | Medicaid | MD | |
| 1679683783 | Other | MD | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 11612 (Maryland) | Primary |
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