| Smiles Pediatric Dental Care | |
|
9811 Greenbelt Rd Ste 208 Lanham MD 20706 | |
| (301) 552-3807 | |
| (301) 552-3809 |
| Full Name | Smiles Pediatric Dental Care |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 9811 Greenbelt Rd Ste 208, Lanham, Maryland |
| Authorized Official Name and Position | Caroline Larosiliere (DENTIST/OWNER) |
| Authorized Official Contact | 3018055437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiles Pediatric Dental Care 9811 Greenbelt Rd Ste 208 Lanham MD 20706-2219 Ph: (301) 552-3807 | Smiles Pediatric Dental Care 9811 Greenbelt Rd Ste 208 Lanham MD 20706 Ph: (301) 552-3807 |
| NPI Number | 1447558739 |
|---|---|
| Provider Enumeration Date | 03/10/2011 |
| Last Update Date | 04/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447558739 | NPI | - | NPPES |
| 9179229 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 12378 (Maryland) | Primary |
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