| Shaan Smiles Llc | |
|
3906 Bergenline Ave 1st Floor Union City NJ 07087-4820 | |
| (973) 225-9975 | |
| Not Available |
| Full Name | Shaan Smiles Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3906 Bergenline Ave, Union City, New Jersey |
| Authorized Official Name and Position | Jasmeet Khurana (OWNER) |
| Authorized Official Contact | 2013307600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shaan Smiles Llc 3906 Bergenline Ave 1st Floor Union City NJ 07087-4820 Ph: (973) 225-9975 | Shaan Smiles Llc 3906 Bergenline Ave 1st Floor Union City NJ 07087-4820 Ph: (973) 225-9975 |
| NPI Number | 1992112734 |
|---|---|
| Provider Enumeration Date | 07/14/2014 |
| Last Update Date | 10/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992112734 | NPI | - | NPPES |
| 0305669 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22DI02261100 (New Jersey) | Primary |
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