Esthetic Smile LLC
Dentist in Rockville, MD. Organization (NPI-2).
NPI number1932070943
StatusActive
Last updated in NPPESSep 15, 2025
Details
- NPI
- 1932070943
- Entity type
- Organization (NPI-2)
- Legal business name
- Esthetic Smile LLC
- Organization subpart
- No
- Enumeration date
- Sep 15, 2025
- Certification date
- Sep 14, 2025
- Last updated
- Sep 15, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Practice location
50 W Edmonston Dr Ste 605Rockville, MD 20852-1254
Phone 301-762-5552
Mailing address
50 W Edmonston Dr Ste 605Rockville, MD 20852-1254
Phone 301-762-5552
Authorized official
Iria Ondo Bengone
Owner
3017625552
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