NPI | 1356730394 |
---|---|
Doing Business As | AVENUE SMILES |
Entity Type | Organization |
Authorized Contact | AVRAHAM A WEINER Dentist 215-877-0900 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS039877) |
Enumeration Date | 2015-01-14 |
Last Update Date | 2018-01-22 |