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General NPI Number Information
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NPI Number | 1104053545
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Entity Type | Organization
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Legal Business Name | CHILO OBIANWU DMD. ALL SMILES DENTAL CARE P.C
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Dates
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Enumeration Date | 06/12/2009
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 12803 OLD FORT RD STE 203
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City | FORT WASHINGTON
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State | MD
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Zip | 20744-2801
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Country | US
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Telephone | 240-253-1965
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Fax | 240-253-1966
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Provider Business Mailing Address
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Address Line | 12803 OLD FORT RD STE 203
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City | FORT WASHINGTON
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State | MD
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Zip | 20744-2801
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Country | US
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Telephone | 240-253-1965
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Fax | 240-253-1966
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Authorized Official
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Title or Position | DMD
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Name | CHILO N OBIANWU
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Credential |
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Telephone | 301-702-4080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 13826
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License Number State | MD
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