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1902459902
SMILE FOR LIFE PC
PHILADELPHIA, PA
NPI
1902459902
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Entity Type
Organization
Authorized Contact
NINO TABORIDZE
Manager
215-552-9800
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2019-07-18
Last Update Date
2019-08-07
Business Address
SMILE FOR LIFE PC
9173 ROOSEVELT BLVD SPC 22
PHILADELPHIA, PA 19114-2204
Phone number: 215-515-4797
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Mailing Address
SMILE FOR LIFE PC
9173 ROOSEVELT BLVD SPC 22
PHILADELPHIA, PA 19114-2204
Phone number: 215-515-4797
Copy
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