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Organization
PHILADELPHIA SMILE CETER LLC
Active
Organization
PHILADELPHIA SMILE CETER LLC
Active
Other names
Philadelphia Smile Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIRIL SHARKOV (OFFICE MANAGER)
(215) 391-5939
Entity
Organization
Contact information
Practice address
11911 BUSTLETON AVE, PHILADELPHIA, PA 19116-2541
(215) 673-9050
Mailing address
1501 OLD YORK RD, ABINGTON, PA 19001-1907
(215) 558-4205
(215) 494-3603
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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