# PHILADELPHIA SMILE CETER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Philadelphia Smile Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396585212
- **Authorized official:** MR. KIRIL SHARKOV (OFFICE MANAGER)
- **Authorized official phone:** (215) 391-5939

## Contact information

- **Practice address:** 11911 BUSTLETON AVE, PHILADELPHIA, PA 19116-2541
- **Practice address phone:** (215) 673-9050
- **Mailing address:** 1501 OLD YORK RD, ABINGTON, PA 19001-1907
- **Mailing address phone:** (215) 558-4205
- **Mailing address fax:** (215) 494-3603

## Taxonomy

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

## Other

- **Enumeration date:** 05/29/2024
- **Last updated:** 05/29/2024