| Growing Smiles White Marsh LLC | |
|
11570 Crossroads Cir Suite 116 Middle River MD 21220-2861 | |
| (410) 697-9000 | |
| Not Available |
| Full Name | Growing Smiles White Marsh LLC |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 11570 Crossroads Cir, Middle River, Maryland |
| Authorized Official Name and Position | Diana Capobianco (PARTNER) |
| Authorized Official Contact | 4106979000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Growing Smiles White Marsh LLC 11570 Crossroads Cir Suite 116 Middle River MD 21220-2861 Ph: (410) 697-9000 | Growing Smiles White Marsh LLC 11570 Crossroads Cir Suite 116 Middle River MD 21220-2861 Ph: (410) 697-9000 |
| NPI Number | 1831644988 |
|---|---|
| Provider Enumeration Date | 08/18/2016 |
| Last Update Date | 08/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831644988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 12180 (Maryland) | Primary |
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