| Miracle Dental Center | |
|
963 Street Rd # A Southampton PA 18966-4728 | |
| (267) 990-8668 | |
| Not Available |
| Full Name | Miracle Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 963 Street Rd # A, Southampton, Pennsylvania |
| Authorized Official Name and Position | Irina Frolov (OWNER/DENTIST) |
| Authorized Official Contact | 2678827672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Miracle Dental Center 963 Street Rd # A Southampton PA 18966-4728 Ph: (267) 990-8668 | Miracle Dental Center 963 Street Rd # A Southampton PA 18966-4728 Ph: (267) 990-8668 |
| NPI Number | 1306402524 |
|---|---|
| Provider Enumeration Date | 05/13/2019 |
| Last Update Date | 05/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306402524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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