Organization
SMILE DISTRICT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEHA MANGLA DDS (PRESIDENT)
(310) 210-7890
Entity
Organization
Contact information
Practice address
7946 BUSTLETON AVE, PHILADELPHIA, PA 19152-3321
(310) 210-7890
Mailing address
7946 BUSTLETON AVE, PHILADELPHIA, PA 19152-3321
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/22/2022
Last updated
11/22/2022
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