| NPI | 1619449048 |
|---|---|
| Doing Business As | BRILLIANT SMILES OF MARYLAND |
| Entity Type | Organization |
| Authorized Contact | ALEXSANDR FISHMAN President 410-833-8380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-12-24 |
| Last Update Date | 2018-12-24 |