# SMILE TEAM PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114746070
- **Authorized official:** DR. BANSI DOESCHER DMD (OWNER)
- **Authorized official phone:** (732) 789-3811

## Contact information

- **Practice address:** 2340 S 12TH ST, PHILADELPHIA, PA 19148-3540
- **Practice address phone:** (215) 709-0001
- **Practice address fax:** (215) 709-6002
- **Mailing address:** 19 SIMSBURY DR, VOORHEES, NJ 08043-3948
- **Mailing address phone:** (732) 789-3811
- **Mailing address fax:** (215) 709-6002

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 10/08/2024
- **Last updated:** 10/10/2024