| NPI | 1952631749 |
|---|---|
| Doing Business As | SIMPLY BEAUTIFUL SMILES OF LANGHORNE |
| Entity Type | Organization |
| Authorized Contact | GERARDO IVAN PORTES Controller 215-650-4955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2009-12-30 |
| Last Update Date | 2022-09-30 |