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Organization
SMILE LINE DENTAL
Active
Organization
SMILE LINE DENTAL
Active
Parent organization
SMILE LINE DENTAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
SMILE LINE DENTAL
Authorized official
DR. SUNG JOO JEONG D.D.S. (OWNER)
(610) 828-1666
Entity
Organization
Contact information
Practice address
625 N CHARLOTTE ST, POTTSTOWN, PA 19464-4645
(610) 906-3389
(610) 828-1666
Mailing address
625 N CHARLOTTE ST, POTTSTOWN, PA 19464-4645
(610) 906-3389
(610) 828-1666
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS-036185
PA
Other
Enumeration date
01/20/2011
Last updated
01/20/2011
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