Organization
ABSOLUTE SMILE INC
Active
Other names
Absolute Smile
Organization subpart
No
Provider details
NPI number
Authorized official
BORIS FRIDMAN (OWNER/PTACTITIONER)
(215) 464-1704
Entity
Organization
Contact information
Practice address
10100 JAMISON AVE, 226, PHILADELPHIA, PA 19116-3832
(215) 464-1704
Mailing address
10100 JAMISON AVE, 226, PHILADELPHIA, PA 19116-3832
(215) 464-1704
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS031318-L
PA
Other
Enumeration date
07/23/2013
Last updated
07/23/2013
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