# DENTAL BEAUTY INC

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

## Provider details

- **NPI number:** 1629524897
- **Authorized official:** DR. ANDREY KURUDIMOV (PRESIDENT)
- **Authorized official phone:** (267) 266-6866

## Contact information

- **Practice address:** 721 BUSTLETON PIKE, SUITE B, FEASTERVILLE TREVOSE, PA 19053-6055
- **Practice address phone:** (267) 266-6866
- **Mailing address:** 29 CHARLOTTE AVE, SOUTHAMPTON, PA 18966-3241
- **Mailing address phone:** (267) 266-6866

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DS038323 | PA | Yes |

## Other

- **Enumeration date:** 08/28/2016
- **Last updated:** 08/28/2016