# SMILE PHILLY FAMILY & COSMETIC DENTISTRY, P.C.

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

## Provider details

- **NPI number:** 1639496797
- **Authorized official:** DR. DEEPA PATEL FRABIZZIO D.M.D (PRESIDENT)
- **Authorized official phone:** (609) 903-8597

## Contact information

- **Practice address:** 6808 FRANKFORD AVE, PHILADELPHIA, PA 19135-2146
- **Practice address phone:** (215) 624-7418
- **Practice address fax:** (215) 624-5499
- **Mailing address:** 6808 FRANKFORD AVE, PHILADELPHIA, PA 19135-2146
- **Mailing address phone:** (215) 624-7418
- **Mailing address fax:** (215) 624-5499

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS035686 | PA | Yes |

## Other

- **Enumeration date:** 04/29/2010
- **Last updated:** 04/29/2010
