Organization
MY SMILE FOR LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIJI SEETHARAMN DDS (DENTIST/OWNER)
(732) 666-7415
Entity
Organization
Contact information
Practice address
9173 ROOSEVELT BLVD STE 22, PHILADELPHIA, PA 19114-2234
(215) 515-4797
Mailing address
6 KINGSLEY CT, NEWTOWN, PA 18940-2408
(732) 666-7415
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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