Organization
ANGEL SMILES PEDIATRIC DENTISTRY,P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHURONG CAO DMD (BUSINESS OWNER)
(484) 410-4557
Entity
Organization
Contact information
Practice address
803 HEATHERSTONE DR, BERWYN, PA 19312-2506
(484) 410-4557
Mailing address
803 HEATHERSTONE DR, BERWYN, PA 19312-2506
(484) 410-4557
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS035020
PA
Other
Enumeration date
11/02/2008
Last updated
11/05/2008
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