Organization
PHILADELPHIA SMILE CETER LLC
Active
Other names
Philadelphia Smile Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIRIL SHARKOV (OFFICE MANAGER)
(215) 391-5939
Entity
Organization
Contact information
Practice address
11911 BUSTLETON AVE, PHILADELPHIA, PA 19116-2541
(215) 673-9050
Mailing address
1501 OLD YORK RD, ABINGTON, PA 19001-1907
(215) 558-4205
(215) 494-3603
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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