| NPI | 1619664836 |
|---|---|
| Doing Business As | MONTGOMERY MALL SMILE CENTER |
| Entity Type | Organization |
| Authorized Contact | KIRIL SHARKOV Office Manager 215-391-5939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2023-04-18 |