| Penn Smile Care Pc | |
|
6421 Bustleton Ave Philadelphia PA 19149-2905 | |
| (215) 535-0874 | |
| Not Available |
| Full Name | Penn Smile Care Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6421 Bustleton Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Nirav Suresh Patel (DENTIST) |
| Authorized Official Contact | 2155884224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Penn Smile Care Pc 6421 Bustleton Ave Philadelphia PA 19149-2905 Ph: (215) 535-0874 | Penn Smile Care Pc 6421 Bustleton Ave Philadelphia PA 19149-2905 Ph: (215) 535-0874 |
| NPI Number | 1750069340 |
|---|---|
| Provider Enumeration Date | 07/05/2023 |
| Last Update Date | 07/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750069340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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