KIDS SUPER SMILE NPI 1942548540

NPI Information

KIDS SUPER SMILE is a pediatric dentistry dentist in Columbia, MD. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. KIDS SUPER SMILE NPI is 1942548540. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8600 SNOWDEN RIVER PKWY
302
COLUMBIA, MD
ZIP 21045-982
Phone: (410) 953-0111
Fax: (410) 953-0193

The provider's authorized official is Ximena Pareja .
The authorized official title is Officer and has the following contact phone number (410) 953-0111.

The enumeration date for this NPI number is 1/17/2013 and was last updated on 1/17/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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