# IDEAL SMILE OF EXTON

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

## Provider details

- **NPI number:** 1942892377
- **Authorized official:** DR. NANE BALUYAN DDS (OWNER)
- **Authorized official phone:** (718) 666-5789

## Contact information

- **Practice address:** 356 N POTTSTOWN PIKE STE 100, EXTON, PA 19341-2246
- **Practice address phone:** (718) 666-5789
- **Mailing address:** 1650 MEETINGHOUSE RD, WARMINSTER, PA 18974-1034
- **Mailing address phone:** (171) 866-6578

## Taxonomy

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

## Other

- **Enumeration date:** 02/08/2021
- **Last updated:** 02/08/2021