# SMILE ARC ORTHODONTICS & PEDODONTICS LLC

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

## Provider details

- **NPI number:** 1902344039
- **Authorized official:** DR. AHMAD FAWAZ CHARKAS DDS (OWNER)
- **Authorized official phone:** (904) 345-9413

## Contact information

- **Practice address:** 2211 ERIN CT, LANCASTER, PA 17601-1960
- **Practice address phone:** (904) 345-9413
- **Mailing address:** 614 PETERSBURG RD, LANCASTER, PA 17601-8816
- **Mailing address phone:** (904) 345-9413

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DS038234 | PA | Yes |

## Other

- **Enumeration date:** 02/09/2017
- **Last updated:** 02/09/2017