# WALNUT STREET SMILES PC

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

## Provider details

- **NPI number:** 1124642897
- **Authorized official:** MS. BARBARA HAMILTON SCHREINER (PRACTICE MANAGER)
- **Authorized official phone:** (484) 804-3738

## Contact information

- **Practice address:** 1601 WALNUT ST STE 1025, PHILADELPHIA, PA 19102-2911
- **Practice address phone:** (215) 564-1025
- **Practice address fax:** (215) 564-1027
- **Mailing address:** 1601 WALNUT ST STE 1025, PHILADELPHIA, PA 19102-2911
- **Mailing address phone:** (215) 564-1025

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/29/2020
- **Last updated:** 05/29/2020