Smile Loft Columbia Llc | |
10818 Hickory Ridge Rd Ste 117 Columbia MD 21044-3622 | |
(410) 997-4111 | |
Not Available |
Full Name | Smile Loft Columbia Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 10818 Hickory Ridge Rd Ste 117, Columbia, 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 Columbia Llc 2001 Martins Grant Ct Crownsville MD 21032-1932 Ph: () - | Smile Loft Columbia Llc 10818 Hickory Ridge Rd Ste 117 Columbia MD 21044-3622 Ph: (410) 997-4111 |
NPI Number | 1134712961 |
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Provider Enumeration Date | 02/12/2021 |
Last Update Date | 02/12/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134712961 | NPI | - | NPPES |
046068200 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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