| NPI | 1740821321 |
|---|---|
| Doing Business As | HEALTHY SMILES PENNSYLVANIA |
| Entity Type | Organization |
| Authorized Contact | ELLIOT LORBER Owner 718-644-1055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2019-10-04 |