# ASD DENTAL PC DBA AMAZING SMILES BY DESIGN

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

## Provider details

- **NPI number:** 1629927603
- **Authorized official:** MR. KISHAN DAVARA (OWNER)
- **Authorized official phone:** (215) 559-1289

## Contact information

- **Practice address:** 3101 BRISTOL RD STE 1, BENSALEM, PA 19020-2168
- **Practice address phone:** (215) 639-5331
- **Mailing address:** 3101 BRISTOL RD STE 1, BENSALEM, PA 19020-2168
- **Mailing address phone:** (215) 639-5331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 01/23/2026
- **Last updated:** 01/23/2026