# LASTING SMILES OF WILLOWGROVE LLC

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

## Provider details

- **NPI number:** 1386275642
- **Authorized official:** CHANDAN CHADHA DENTIST (DENTIST)
- **Authorized official phone:** (516) 749-3163

## Contact information

- **Practice address:** 35 YORK RD, WILLOW GROVE, PA 19090-3419
- **Practice address phone:** (215) 366-5678
- **Practice address fax:** (215) 346-2672
- **Mailing address:** 35 YORK RD, WILLOW GROVE, PA 19090-3419
- **Mailing address phone:** (215) 366-5678
- **Mailing address fax:** (215) 346-2672

## Taxonomy

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

## Other

- **Enumeration date:** 01/27/2020
- **Last updated:** 01/27/2020