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General NPI Number Information
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NPI Number | 1437945524
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Entity Type | Organization
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Legal Business Name | SMILE EXPERTS INC
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Dates
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Enumeration Date | 04/16/2025
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 2785 EGYPT RD
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City | AUDUBON
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State | PA
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Zip | 19403-2254
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Country | US
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Telephone | 610-631-5800
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Fax | 610-482-9368
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Provider Business Mailing Address
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Address Line | 9 NORTHWOOD LN
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City | SCHWENKSVILLE
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State | PA
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Zip | 19473-1810
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Country | US
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Telephone | 215-681-0410
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Fax | 610-482-9368
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Authorized Official
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Title or Position | OWNER
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Name | DR. RAJI GANESH
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Credential | DMD
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Telephone | 610-631-5800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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