Organization Name: | SHEN'S SMILES PC |
NPI Number: | 1942445689 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LINDA L SHEN (PRESIDENT) |
Mailing Address: | 10 Rittenhouse Place Drums |
State: | PA US |
Postal Code: | 18222 |
Phone Number: | 5709569962 |
Fax Number: | |
NPI Enumeration Date: | 12/10/2008 |
NPI Last Update Date: | 12/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | DS035064 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |