# LUMINOUS SMILES PC

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

## Provider details

- **NPI number:** 1407257082
- **Authorized official:** AJAYKUMAR PATEL DDS (VICE PRESIDENT)
- **Authorized official phone:** 61052220220

## Contact information

- **Practice address:** 214 N CHESTER PIKE, GLENOLDEN, PA 19036-1316
- **Practice address phone:** (610) 522-0220
- **Mailing address:** 214 N CHESTER PIKE, GLENOLDEN, PA 19036-1316
- **Mailing address phone:** (610) 522-0220

## Taxonomy

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

## Other

- **Enumeration date:** 09/15/2014
- **Last updated:** 09/15/2014