| Pristine Smiles Llc | |
|
11300 Rockville Pike Ste 1013 Rockville MD 20852-3039 | |
| (408) 561-3041 | |
| Not Available |
| Full Name | Pristine Smiles Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11300 Rockville Pike Ste 1013, Rockville, Maryland |
| Authorized Official Name and Position | Navneet Dhaliwal (DENTIST/OWNER) |
| Authorized Official Contact | 4085613041 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pristine Smiles Llc 12620 Greenbriar Rd Potomac MD 20854-6330 Ph: (408) 561-3041 | Pristine Smiles Llc 11300 Rockville Pike Ste 1013 Rockville MD 20852-3039 Ph: (408) 561-3041 |
| NPI Number | 1548756232 |
|---|---|
| Provider Enumeration Date | 07/05/2018 |
| Last Update Date | 01/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548756232 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 16623 (Maryland) | Primary |
| 261QD0000X | Clinic/center - Dental | 16623 (Maryland) | Secondary |
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