Organization
PENN SMILE CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIRAV SURESH PATEL DDS (DENTIST)
(215) 588-4224
Entity
Organization
Contact information
Practice address
6421 BUSTLETON AVE, PHILADELPHIA, PA 19149-2905
(215) 535-0874
Mailing address
6421 BUSTLETON AVE, PHILADELPHIA, PA 19149-2905
(215) 535-0874
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/05/2023
Last updated
07/17/2023
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