Young Smiles Family Dentistry
Dentist, General Practice in Philadelphia, PA. Organization (NPI-2).
NPI number1154768554
StatusActive
Last updated in NPPESMay 28, 2013
Details
- NPI
- 1154768554
- Entity type
- Organization (NPI-2)
- Legal business name
- Young Smiles Family Dentistry
- Organization subpart
- No
- Enumeration date
- May 28, 2013
- Last updated
- May 28, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
1311 South StPhiladelphia, PA 19147-1867
Phone 215-985-1717
Mailing address
1311 South StPhiladelphia, PA 19147-1867
Authorized official
Qing Yang
Owner
2159851717
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