| Nuclear Smiles LLC | |
|
10100 Twin Rivers Rd Apt 121 Columbia MD 21044-2578 | |
| (301) 538-0719 | |
| Not Available |
| Full Name | Nuclear Smiles LLC |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 10100 Twin Rivers Rd Apt 121, Columbia, Maryland |
| Authorized Official Name and Position | Jon a Moles (OWNER) |
| Authorized Official Contact | 3015380719 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nuclear Smiles LLC 2104 Dixon Rd Frederick MD 21704-8135 Ph: (301) 538-0719 | Nuclear Smiles LLC 10100 Twin Rivers Rd Apt 121 Columbia MD 21044-2578 Ph: (301) 538-0719 |
| NPI Number | 1609412592 |
|---|---|
| Provider Enumeration Date | 11/26/2019 |
| Last Update Date | 11/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609412592 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (NU) | Primary |
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