Provider Demographics
NPI:1265632186
Name:SMILE SOLUTIONS LLC
Entity Type:Organization
Organization Name:SMILE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MERSAD
Authorized Official - Middle Name:
Authorized Official - Last Name:HOORFAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-256-3666
Mailing Address - Street 1:1381 E BOOT RD
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-5988
Mailing Address - Country:US
Mailing Address - Phone:610-918-4995
Mailing Address - Fax:
Practice Address - Street 1:1381 E BOOT RD
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-5988
Practice Address - Country:US
Practice Address - Phone:610-918-4995
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-19
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS029513L261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental