| Smile Loft Affinity Dental Llc | |
|
4 E Rolling Xrds Ste 205 Catonsville MD 21228-6281 | |
| (410) 719-7900 | |
| Not Available |
| Full Name | Smile Loft Affinity Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4 E Rolling Xrds Ste 205, Catonsville, Maryland |
| Authorized Official Name and Position | Vaibhav Rai (MEMBER) |
| Authorized Official Contact | 6102160339 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Loft Affinity Dental Llc 4 E Rolling Xrds Ste 205 Catonsville MD 21228-6281 Ph: (410) 719-7900 | Smile Loft Affinity Dental Llc 4 E Rolling Xrds Ste 205 Catonsville MD 21228-6281 Ph: (410) 719-7900 |
| NPI Number | 1326620196 |
|---|---|
| Provider Enumeration Date | 04/22/2021 |
| Last Update Date | 04/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326620196 | NPI | - | NPPES |
| 046068200 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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