Provider Demographics
NPI:1508416124
Name:SMILE CULTURE 3, PC
Entity Type:Organization
Organization Name:SMILE CULTURE 3, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HARSHIL
Authorized Official - Middle Name:
Authorized Official - Last Name:BOGHARA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:484-800-8444
Mailing Address - Street 1:1210 NORTHBROOK DR STE 400
Mailing Address - Street 2:
Mailing Address - City:FEASTERVILLE TREVOSE
Mailing Address - State:PA
Mailing Address - Zip Code:19053-8428
Mailing Address - Country:US
Mailing Address - Phone:267-778-1241
Mailing Address - Fax:
Practice Address - Street 1:1751 WILMINGTON PIKE STE F-2
Practice Address - Street 2:
Practice Address - City:GLEN MILLS
Practice Address - State:PA
Practice Address - Zip Code:19342-4301
Practice Address - Country:US
Practice Address - Phone:484-800-8444
Practice Address - Fax:215-494-9388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-16
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty