Organization
SMILE GARDEN PEDIATRIC DENTISTRY AND ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE SHOENBERGER (MEMBER)
(610) 248-9683
Entity
Organization
Contact information
Practice address
730 HARRISON ST, EMMAUS, PA 18049-2211
(610) 248-9683
Mailing address
730 HARRISON ST, EMMAUS, PA 18049-2211
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS037358
PA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DS037255
PA
Other
Enumeration date
01/12/2016
Last updated
01/29/2016
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