Organization
ISMILE DENTAL TEAM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DILIP N DUDHAT DMD (PRESIDENT)
(215) 237-6099
Entity
Organization
Contact information
Practice address
6573 ROOSEVELT BLVD, PHILADELPHIA, PA 19149-2918
(267) 668-8001
Mailing address
6573 ROOSEVELT BLVD, PHILADELPHIA, PA 19149-2918
(267) 668-8001
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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