institution
Modern Smile Dental
Dental Clinic/Center in Gaithersburg, Maryland
NPI 1629732300

Modern Smile Dental is a Dental Clinic/Center based in Clarksburg, MD and is specialized in Dental. Modern Smile Dental practices in Gaithersburg, MD. The NPI Number for Modern Smile Dental is 1629732300 and holds a License No. (Maryland).

The current practice location address for Modern Smile Dental is 901 Russell Ave Ste 100, Gaithersburg, MD and can be reached out via phone at 301-977-8640.

Location: 901 Russell Ave Ste 100, Gaithersburg, MD, 20871-9310
institution
Provider Profile Details
NPI Number
1629732300
Provider Name
Modern Smile Dental
Credential
Provider Entity Type
Organization
Address
901 Russell Ave Ste 100, Gaithersburg, MD, 20871-9310
Phone Number
301-977-8640
Fax Number
Provider Enumeration Date
10/28/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
027383000 05 MD
institution
Provider Business Practice Location Address Details
Address
901 Russell Ave Ste 100
City
State
Zip
20879-3281
Phone Number
301-977-8640
Fax Number
person
Provider Business Mailing Address Details
Address
901 Russell Ave Ste 100
City
State
Zip
20879-3281
Phone Number
301-977-8640
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
()
Definition
Definition to come...
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