# PERFECT SMILE DENTAL OF ALTOONA PC

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

## Provider details

- **NPI number:** 1972960409
- **Authorized official:** PENG CHENG DMD (OWNER/DENTIST)
- **Authorized official phone:** (814) 942-4699

## Contact information

- **Practice address:** 125 E PLEASANT VALLEY BLVD, ALTOONA, PA 16602
- **Practice address phone:** (814) 942-4699
- **Practice address fax:** (814) 942-4587
- **Mailing address:** 125 E PLEASANT VALLEY BLVD, ALTOONA, PA 16602-5544
- **Mailing address phone:** (814) 942-4699
- **Mailing address fax:** (814) 942-4587

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS038278 | PA | Yes |

## Other

- **Enumeration date:** 01/28/2016
- **Last updated:** 08/31/2018