Midjersey Smiles Llc | |
1447 Route 18 Old Bridge NJ 08857 | |
(732) 727-0895 | |
Not Available |
Full Name | Midjersey Smiles Llc |
---|---|
Speciality | Dentist |
Location | 1447 Route 18, Old Bridge, New Jersey |
Authorized Official Name and Position | Kuma Kalaria (PARTNER) |
Authorized Official Contact | 7327270895 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Midjersey Smiles Llc 1447 Route 18 Old Bridge NJ 08857 Ph: (732) 727-0895 | Midjersey Smiles Llc 1447 Route 18 Old Bridge NJ 08857 Ph: (732) 727-0895 |
NPI Number | 1609314962 |
---|---|
Provider Enumeration Date | 02/07/2017 |
Last Update Date | 02/07/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609314962 | NPI | - | NPPES |
1750616389 | Other | NJ | HEALTH CARE PROVIDER |
1053577833 | Other | NJ | HEALTH CARE PROVIDER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 22DI02406100 (New Jersey) | Secondary |
122300000X | Dentist | 22DI02383502 (New Jersey) | Primary |
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