Smile Loft Gaithersburg LLC
NPI #1154917904 in Gaithersburg, Maryland
Provider Information
- NPI Number
- 1154917904
- Entity Type
- Organization
- Organization Name
- Smile Loft Gaithersburg LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 16, 2020
- Last Updated
- Dec 16, 2020
Practice Location
- Address
- 9069 SHADY GROVE CT
- City
- Gaithersburg
- State
- Maryland
- ZIP Code
- 20877-1301
- Phone
- (301) 977-3766
Authorized Official
- Name
- CHRISTINE RAI
- Title
- HR DIRECTOR
- Phone
- (410) 610-3071
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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