| Smile Loft Gaithersburg Llc | |
|
9069 Shady Grove Ct Gaithersburg MD 20877-1301 | |
| (301) 977-3766 | |
| Not Available |
| Full Name | Smile Loft Gaithersburg Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9069 Shady Grove Ct, Gaithersburg, Maryland |
| Authorized Official Name and Position | Christine Rai (HR DIRECTOR) |
| Authorized Official Contact | 4106103071 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Loft Gaithersburg Llc 9069 Shady Grove Ct Gaithersburg MD 20877-1301 Ph: (301) 977-3766 | Smile Loft Gaithersburg Llc 9069 Shady Grove Ct Gaithersburg MD 20877-1301 Ph: (301) 977-3766 |
| NPI Number | 1154917904 |
|---|---|
| Provider Enumeration Date | 12/16/2020 |
| Last Update Date | 12/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154917904 | NPI | - | NPPES |
| 046068200 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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