| Smile Design Studio | |
|
8201 Wisconsin Ave Bethesda MD 20814-3101 | |
| (301) 907-8201 | |
| (301) 907-8202 |
| Full Name | Smile Design Studio |
|---|---|
| Speciality | Dentist |
| Location | 8201 Wisconsin Ave, Bethesda, Maryland |
| Authorized Official Name and Position | Treva Eileen Willis (DENTIST/MEMBER) |
| Authorized Official Contact | 4109131077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Design Studio 8201 Wisconsin Ave Bethesda MD 20814-3101 Ph: (301) 907-8201 | Smile Design Studio 8201 Wisconsin Ave Bethesda MD 20814-3101 Ph: (301) 907-8201 |
| NPI Number | 1295979847 |
|---|---|
| Provider Enumeration Date | 04/27/2009 |
| Last Update Date | 04/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295979847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12693 (Maryland) | Primary |
| 122300000X | Dentist | 14153 (Maryland) | Secondary |
| 1223P0700X | Dentist - Prosthodontics | 12460 (Maryland) | Secondary |
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