| Smile Dental Studio, Llc. | |
|
15215 Shady Grove Rd Ste 103 Rockville MD 20850-6298 | |
| (301) 825-9245 | |
| (301) 296-6199 |
| Full Name | Smile Dental Studio, Llc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 15215 Shady Grove Rd Ste 103, Rockville, Maryland |
| Authorized Official Name and Position | Lili Ghazai (OWNER) |
| Authorized Official Contact | 3018259245 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Dental Studio, Llc. 15215 Shady Grove Rd Ste 103 Rockville MD 20850-6298 Ph: (301) 825-9245 | Smile Dental Studio, Llc. 15215 Shady Grove Rd Ste 103 Rockville MD 20850-6298 Ph: (301) 825-9245 |
| NPI Number | 1720870405 |
|---|---|
| Provider Enumeration Date | 05/20/2025 |
| Last Update Date | 05/20/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720870405 | NPI | - | NPPES |
| 013259400 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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