Organization
DMITRY KARAGODSKY PC
Active
Other names
SMILE MAKER
Organization subpart
No
Provider details
NPI number
Authorized official
DMITRY KARAGODSKY DDS (AUTHORIZED OFFICIAL, DOCTOR)
(215) 969-2015
Entity
Organization
Contact information
Practice address
1775 STREET RD, SOUTHAMPTON, PA 18966-4564
(215) 969-2001
Mailing address
1775 STREET RD, SOUTHAMPTON, PA 18966-4564
(215) 969-2001
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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