Smile Street Dental | |
6618a Security Blvd Woodlawn MD 21207-4010 | |
(410) 575-1833 | |
(410) 803-5297 |
Full Name | Smile Street Dental |
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Speciality | Clinic/center - Dental |
Location | 6618a Security Blvd, Woodlawn, Maryland |
Authorized Official Name and Position | Amber T Royal (CEO) |
Authorized Official Contact | 2025696708 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Smile Street Dental 6618a Security Blvd Woodlawn MD 21207-4010 Ph: () - | Smile Street Dental 6618a Security Blvd Woodlawn MD 21207-4010 Ph: (410) 575-1833 |
NPI Number | 1629609888 |
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Provider Enumeration Date | 01/27/2020 |
Last Update Date | 02/19/2020 |
Identifier | Type | State | Issuer |
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1629609888 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |