| Smile Designers Dental Center, Llc | |
|
7234 Rising Sun Ave Philadelphia PA 19111-3948 | |
| (215) 745-4313 | |
| (215) 745-4388 |
| Full Name | Smile Designers Dental Center, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7234 Rising Sun Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Andrey Rossius (OWNER MEMBER) |
| Authorized Official Contact | 4845572120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Designers Dental Center, Llc 7234 Rising Sun Ave Philadelphia PA 19111-3948 Ph: (215) 745-4313 | Smile Designers Dental Center, Llc 7234 Rising Sun Ave Philadelphia PA 19111-3948 Ph: (215) 745-4313 |
| NPI Number | 1336488725 |
|---|---|
| Provider Enumeration Date | 02/05/2013 |
| Last Update Date | 02/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336488725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DS038958 (Pennsylvania) | Primary |
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