| Luminous Smile, Corp. | |
|
605 Baltimore Annapolis Blvd Severna Park MD 21146-3930 | |
| (240) 549-2015 | |
| Not Available |
| Full Name | Luminous Smile, Corp. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 605 Baltimore Annapolis Blvd, Severna Park, Maryland |
| Authorized Official Name and Position | Sahar Zare (GENERAL DENTIST/ OWNER) |
| Authorized Official Contact | 2405492015 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luminous Smile, Corp. 2500 Waterside Dr Unit 212 Frederick MD 21701-3257 Ph: (240) 549-2015 | Luminous Smile, Corp. 605 Baltimore Annapolis Blvd Severna Park MD 21146-3930 Ph: (240) 549-2015 |
| NPI Number | 1518661578 |
|---|---|
| Provider Enumeration Date | 03/27/2023 |
| Last Update Date | 03/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518661578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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