Organization Name: | ALL SMILES DENTAL CARE PC |
NPI Number: | 1104053545 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHILO NNENNA OBIANWU (DENTIST/OWNER) |
Mailing Address: | 12803 Old Fort Rd Ste 203 Fort Washington |
State: | MD US |
Postal Code: | 207442801 |
Phone Number: | 2402531965 |
Fax Number: | 2402531966 |
NPI Enumeration Date: | 06/12/2009 |
NPI Last Update Date: | 06/12/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |