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1134712961
SMILE LOFT COLUMBIA LLC
COLUMBIA, MD
NPI
1134712961
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Entity Type
Organization
Authorized Contact
VAIBHAV RAI
Member
610-216-0339
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2021-02-12
Last Update Date
2021-02-12
Business Address
SMILE LOFT COLUMBIA LLC
10818 HICKORY RIDGE RD STE 117
COLUMBIA, MD 21044-3622
Phone number: 410-997-4111
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Mailing Address
SMILE LOFT COLUMBIA LLC
2001 MARTINS GRANT CT
CROWNSVILLE, MD 21032-1932
Phone number:
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