Organization
SMILE TEAM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BANSI DOESCHER (OWNER)
(215) 709-0001
Entity
Organization
Contact information
Practice address
9301 BANES ST, PHILADELPHIA, PA 19115-4201
(215) 709-0001
(215) 709-6002
Mailing address
9301 BANES ST, PHILADELPHIA, PA 19115-4201
(215) 709-0001
(215) 709-6002
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1035067790001
—
PA
Enumeration date
12/09/2019
Last updated
12/09/2019
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