Organization
PRISTINE SMILES FAMILY DENTISTRY
Active
Other names
Pristine Smiles Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
NANDHINI BOGAVELLI (DENTIST)
(717) 790-2184
Entity
Organization
Contact information
Practice address
219 E MAIN ST STE 113, MECHANICSBURG, PA 17055-6541
(717) 790-2184
Mailing address
219 E MAIN ST STE 113, MECHANICSBURG, PA 17055-6541
(717) 790-2184
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/23/2022
Last updated
09/23/2022
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