Organization
SMILE DESTINATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SMILE DESTINATION LLC DMD (OWNER)
(302) 357-5166
Entity
Organization
Contact information
Practice address
2603 EASTBURN CTR, NEWARK, DE 19711-7285
(302) 357-5166
Mailing address
122 HONORA DR, BEAR, DE 19701-2042
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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