Organization
SEA OF SMILES 4 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJ PATEL DMD (OWNER)
(215) 208-1768
Entity
Organization
Contact information
Practice address
361 HIGHLAND AVE STE 203, JENKINTOWN, PA 19046-2632
(267) 392-5878
(412) 317-1568
Mailing address
301 OXFORD VALLEY RD STE 1801, YARDLEY, PA 19067-7725
(267) 392-5878
(412) 317-1568
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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