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Organization
MONTGOMERY SMILE CENTER LLC
Active
Organization
MONTGOMERY SMILE CENTER LLC
Active
Other names
MONTGOMERY MALL SMILE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
KIRIL SHARKOV (OFFICE MANAGER)
(215) 391-5939
Entity
Organization
Contact information
Practice address
154 MONTGOMERY MALL, NORTH WALES, PA 19454-3909
(215) 475-5140
Mailing address
154 MONTGOMERY MALL, NORTH WALES, PA 19454-3909
(215) 475-5140
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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