Organization
MIRACLE DENTAL CENTER
Active
Other names
Miracle Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
IRINA FROLOV DDS (OWNER/DENTIST)
(267) 882-7672
Entity
Organization
Contact information
Practice address
963 STREET RD # A, SOUTHAMPTON, PA 18966-4728
(267) 990-8668
Mailing address
963 STREET RD # A, SOUTHAMPTON, PA 18966-4728
(267) 990-8668
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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