| Elegant Smiles Dentistry | |
|
14420 Old Mill Rd Ste 101 Upper Marlboro MD 20772-3096 | |
| (301) 627-6686 | |
| Not Available |
| Full Name | Elegant Smiles Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 14420 Old Mill Rd Ste 101, Upper Marlboro, Maryland |
| Authorized Official Name and Position | Dawn Berezoski (RECEPTION/FINANCIAL) |
| Authorized Official Contact | 3016276687 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elegant Smiles Dentistry 14420 Old Mill Rd Ste 101 Upper Marlboro MD 20772-3096 Ph: (301) 627-6686 | Elegant Smiles Dentistry 14420 Old Mill Rd Ste 101 Upper Marlboro MD 20772-3096 Ph: (301) 627-6686 |
| NPI Number | 1295279024 |
|---|---|
| Provider Enumeration Date | 12/13/2016 |
| Last Update Date | 08/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295279024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 14871 (Maryland) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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