# ANH DUONG DMD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lavender Smiles
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376391698
- **Authorized official:** DR. ANH DUONG DMD (OWNER)
- **Authorized official phone:** (610) 233-5020

## Contact information

- **Practice address:** 100 S MACDADE BLVD, GLENOLDEN, PA 19036-1727
- **Practice address phone:** (484) 474-0343
- **Practice address fax:** (484) 494-2142
- **Mailing address:** 527 TASKER AVE, FOLSOM, PA 19033-1421
- **Mailing address phone:** (610) 233-5020

## Taxonomy

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

## Other

- **Enumeration date:** 05/10/2024
- **Last updated:** 05/10/2024