Organization
LEGENDARY SMILES PC
Active
Other names
Legendary Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
MEETU SINGH (INSURANCE COORDINATOR)
(610) 717-4212
Entity
Organization
Contact information
Practice address
1330 W CHESTER PIKE, HAVERTOWN, PA 19083-3246
(610) 789-4040
Mailing address
1330 W CHESTER PIKE, HAVERTOWN, PA 19083-3246
(610) 789-4040
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS038087
PA
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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