Organization
ARTISTIC SMILE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IRENE MENDES (OWNER)
(215) 492-0702
Entity
Organization
Contact information
Practice address
2801 ISLAND AVE STE 5, PHILADELPHIA, PA 19153-2326
(215) 492-0702
Mailing address
2801 ISLAND AVE STE 5, PHILADELPHIA, PA 19153-2326
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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