| Smile Park Dental Llc | |
|
1702 Transportation Blvd Ste F Crofton MD 21114-2151 | |
| (410) 721-5000 | |
| Not Available |
| Full Name | Smile Park Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1702 Transportation Blvd Ste F, Crofton, Maryland |
| Authorized Official Name and Position | Michael Y Park (DR) |
| Authorized Official Contact | 4107215000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Park Dental Llc 1702 Transportation Blvd Ste F Crofton MD 21114-2151 Ph: (410) 721-5000 | Smile Park Dental Llc 1702 Transportation Blvd Ste F Crofton MD 21114-2151 Ph: (410) 721-5000 |
| NPI Number | 1710620414 |
|---|---|
| Provider Enumeration Date | 04/19/2022 |
| Last Update Date | 04/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710620414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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