Organization
MONTGOMERY SMILE CENTER LLC
Active
Other names
MONTGOMERY MALL SMILE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
KIRIL SHARKOV (OFFICE MANAGER)
(215) 391-5939
Entity
Organization
Contact information
Practice address
154 MONTGOMERY MALL, NORTH WALES, PA 19454-3909
(215) 475-5140
Mailing address
154 MONTGOMERY MALL, NORTH WALES, PA 19454-3909
(215) 475-5140
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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