Organization
PEDIATRIC DENTAL HEALTH, LLC
Active
Other names
Sea of Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJ PATEL DMD (OWNER)
(267) 392-5878
Entity
Organization
Contact information
Practice address
2842 STREET RD, BENSALEM, PA 19020-2651
(215) 208-1768
Mailing address
301 OXFORD VALLEY RD, SUITE 1801, YARDLEY, PA 19067-7706
(267) 392-5878
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS038316
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102806206
—
PA
Enumeration date
10/03/2016
Last updated
10/03/2016
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