| NPI | 1972293249 |
|---|---|
| Doing Business As | LEGENDARY SMILES |
| Entity Type | Organization |
| Authorized Contact | KEYUR DUDHAT Owner 215-390-3956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-05-10 |
| Last Update Date | 2023-05-10 |