LAKESIDE SMILES, LLC

COLUMBIA, MD
NPI1841750965
Entity TypeOrganization
Authorized ContactKATHY DIPASQUALE KIM
Owner, Dentist
443-979-9155
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2019-03-24
Last Update Date2019-10-16
Business Address
LAKESIDE SMILES, LLC
7135 MINSTREL WAY STE 101
COLUMBIA, MD 21045-5293
Phone number: 443-832-3305
Mailing Address
LAKESIDE SMILES, LLC
11716 PINDELL CHASE DR
FULTON, MD 20759-9704
Phone number: 703-943-8360