Smile Loft Branch Ave LLC

NPI #1114322658 in Suitland, Maryland

Provider Information

NPI Number: 1114322658
Entity Type: Organization
Organization Name: Smile Loft Branch Ave LLC
Primary Specialty: Dentist
Enumeration Date: Oct 27, 2014
Last Updated: Oct 27, 2014

Practice Location

Address: 4710 AUTH PL
City: Suitland
State: Maryland
ZIP Code: 20746-4223
Phone: (301) 899-1188

Authorized Official

Name: DR. KASHYAP D. PATEL, DDS
Title: DENTIST
Phone: (301) 899-1188

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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