Provider Demographics
NPI:1932419793
Name:SMILES FOR MILES DENTAL GROUP
Entity Type:Organization
Organization Name:SMILES FOR MILES DENTAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRIMARY DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NEHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SARAF
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:215-268-3344
Mailing Address - Street 1:551 ADAMS AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19120-2101
Mailing Address - Country:US
Mailing Address - Phone:215-268-3344
Mailing Address - Fax:215-821-2327
Practice Address - Street 1:551 ADAMS AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19120-2101
Practice Address - Country:US
Practice Address - Phone:215-268-3344
Practice Address - Fax:215-821-2327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-14
Last Update Date:2011-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0379741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty