Organization
LUMINOUS SMILES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AJAYKUMAR PATEL DDS (VICE PRESIDENT)
61052220220
Entity
Organization
Contact information
Practice address
214 N CHESTER PIKE, GLENOLDEN, PA 19036-1316
(610) 522-0220
Mailing address
214 N CHESTER PIKE, GLENOLDEN, PA 19036-1316
(610) 522-0220
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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