Organization
SMILE KRAFTERS PEDIATRIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW DORMESHIAN (OWNER)
(917) 847-6976
Entity
Organization
Contact information
Practice address
1247 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6298
(610) 628-1228
Mailing address
1247 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6298
(610) 628-1228
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS036490
PA
Other
Enumeration date
06/11/2013
Last updated
06/11/2013
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