| Smile Destination, Llc | |
|
2603 Eastburn Ctr Newark DE 19711-7285 | |
| (302) 357-5166 | |
| Not Available |
| Full Name | Smile Destination, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2603 Eastburn Ctr, Newark, Delaware |
| Authorized Official Name and Position | Smile Destination Llc (OWNER) |
| Authorized Official Contact | 3023575166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Destination, Llc 122 Honora Dr Bear DE 19701-2042 Ph: () - | Smile Destination, Llc 2603 Eastburn Ctr Newark DE 19711-7285 Ph: (302) 357-5166 |
| NPI Number | 1225717002 |
|---|---|
| Provider Enumeration Date | 07/17/2023 |
| Last Update Date | 07/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225717002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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