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Organization
IDEAL SMILE DENTAL
Active
Organization
IDEAL SMILE DENTAL
Active
Other names
Ideal Smile
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETGH MQ LO PICCOLO (PRACTICE MANAGER)
(215) 859-5555
Entity
Organization
Contact information
Practice address
3200 BRISTOL RD, BENSALEM, PA 19020-2118
(215) 859-5555
(215) 757-2457
Mailing address
3200 BRISTOL RD, BENSALEM, PA 19020-2118
(215) 859-5555
(215) 757-2457
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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