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Organization

IDEAL SMILE DENTAL

Active
Other names
Ideal Smile
Organization subpart
No

Provider details

NPI number
Authorized official
ELIZABETGH MQ LO PICCOLO (PRACTICE MANAGER)
(215) 859-5555
Entity
Organization

Contact information

Practice address
3200 BRISTOL RD, BENSALEM, PA 19020-2118
(215) 859-5555
(215) 757-2457
Mailing address
3200 BRISTOL RD, BENSALEM, PA 19020-2118
(215) 859-5555
(215) 757-2457

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
07/17/2018
Last updated
07/17/2018
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