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Organization
SMILE DESIGNERS DENTAL CENTER, LLC
Active
Organization
SMILE DESIGNERS DENTAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREY ROSSIUS D.M.D. (OWNER MEMBER)
(484) 557-2120
Entity
Organization
Contact information
Practice address
7234 RISING SUN AVE, PHILADELPHIA, PA 19111-3948
(215) 745-4313
(215) 745-4388
Mailing address
7234 RISING SUN AVE, PHILADELPHIA, PA 19111-3948
(215) 745-4313
(215) 745-4388
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS038958
PA
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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