Organization
DENTAL BEAUTY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREY KURUDIMOV (PRESIDENT)
(267) 266-6866
Entity
Organization
Contact information
Practice address
721 BUSTLETON PIKE, SUITE B, FEASTERVILLE TREVOSE, PA 19053-6055
(267) 266-6866
Mailing address
29 CHARLOTTE AVE, SOUTHAMPTON, PA 18966-3241
(267) 266-6866
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS038323
PA
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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