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Organization
U SMILE DENTAL LLC
Active
Organization
U SMILE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GENRICH SHVARTS DDS (OWNER)
(215) 820-9636
Entity
Organization
Contact information
Practice address
6404 ROOSEVELT BLVD FL 2, PHILADELPHIA, PA 19149-2943
(215) 288-6404
Mailing address
6404 ROOSEVELT BLVD FL 2, PHILADELPHIA, PA 19149-2943
(215) 288-6404
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047392
UNIVERSITY STATE OF NEW YORK
NY
Enumeration date
08/24/2022
Last updated
05/18/2023
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