Amazing Smiles, Llc | |
1907 Oak Tree Rd Suite 204 Edison NJ 08820-2070 | |
(732) 662-9313 | |
(732) 662-9315 |
Full Name | Amazing Smiles, Llc |
---|---|
Speciality | Clinic/center - Dental |
Location | 1907 Oak Tree Rd, Edison, New Jersey |
Authorized Official Name and Position | Richard Alan Kosofsky (DIRECTOR) |
Authorized Official Contact | 7326629313 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Amazing Smiles, Llc 1907 Oak Tree Rd Suite 204 Edison NJ 08820-2070 Ph: (732) 662-9313 | Amazing Smiles, Llc 1907 Oak Tree Rd Suite 204 Edison NJ 08820-2070 Ph: (732) 662-9313 |
NPI Number | 1184854614 |
---|---|
Provider Enumeration Date | 07/17/2009 |
Last Update Date | 07/17/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184854614 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 10840 (New Jersey) | Primary |
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