# BETHLEHEM SMILE DESIGN LLC

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

## Provider details

- **NPI number:** 1811594724
- **Authorized official:** BHAUMIK KANANI (MANAGER)
- **Authorized official phone:** (213) 446-5662

## Contact information

- **Practice address:** 315 E ETTWEIN ST, BETHLEHEM, PA 18018-4130
- **Practice address phone:** (610) 849-2042
- **Practice address fax:** (610) 849-2038
- **Mailing address:** 315 E ETTWEIN ST, BETHLEHEM, PA 18018-4130
- **Mailing address phone:** (610) 849-2042
- **Mailing address fax:** (610) 849-2038

## Taxonomy

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

## Other

- **Enumeration date:** 10/04/2020
- **Last updated:** 10/04/2020