| NPI | 1295279024 |
|---|---|
| Doing Business As | ELEGANT SMILES DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | DAWN BEREZOSKI Reception/Financial 301-627-6687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MD 14871) |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2021-08-19 |