| Kids Super Smile | |
|
8600 Snowden River Pkwy 302 Columbia MD 21045-1982 | |
| (410) 953-0111 | |
| (410) 953-0193 |
| Full Name | Kids Super Smile |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 8600 Snowden River Pkwy, Columbia, Maryland |
| Authorized Official Name and Position | Ximena Pareja (OFFICER) |
| Authorized Official Contact | 4109530111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kids Super Smile 8600 Snowden River Pkwy 302 Columbia MD 21045-1982 Ph: (410) 953-0111 | Kids Super Smile 8600 Snowden River Pkwy 302 Columbia MD 21045-1982 Ph: (410) 953-0111 |
| NPI Number | 1942548540 |
|---|---|
| Provider Enumeration Date | 01/17/2013 |
| Last Update Date | 01/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942548540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 12833 (Maryland) | Primary |
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