Smile Loft Middle River LLC
NPI #1912749417 in Middle River, Maryland
Provider Information
- NPI Number
- 1912749417
- Entity Type
- Organization
- Organization Name
- Smile Loft Middle River LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 7, 2024
- Last Updated
- Jun 7, 2024
Practice Location
- Address
- 1390 MARTIN BLVD
- City
- Middle River
- State
- Maryland
- ZIP Code
- 21220-4104
- Phone
- (410) 610-3071
Authorized Official
- Name
- VAIBHAV RAI, DDS
- Title
- OWNER/MEMBER
- Phone
- (610) 216-0339
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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