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1841750965
LAKESIDE SMILES, LLC
COLUMBIA, MD
NPI
1841750965
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Entity Type
Organization
Authorized Contact
KATHY DIPASQUALE KIM
Owner, Dentist
443-979-9155
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2019-03-24
Last Update Date
2019-10-16
Business Address
LAKESIDE SMILES, LLC
7135 MINSTREL WAY STE 101
COLUMBIA, MD 21045-5293
Phone number: 443-832-3305
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Mailing Address
LAKESIDE SMILES, LLC
11716 PINDELL CHASE DR
FULTON, MD 20759-9704
Phone number: 703-943-8360
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