# MIRACLE DENTAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Miracle Dental Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306402524
- **Authorized official:** IRINA FROLOV DDS (OWNER/DENTIST)
- **Authorized official phone:** (267) 882-7672

## Contact information

- **Practice address:** 963 STREET RD \# A, SOUTHAMPTON, PA 18966-4728
- **Practice address phone:** (267) 990-8668
- **Mailing address:** 963 STREET RD \# A, SOUTHAMPTON, PA 18966-4728
- **Mailing address phone:** (267) 990-8668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 05/13/2019
- **Last updated:** 05/13/2019