| The Smile Station Llc | |
|
286 Union Ave Belleville NJ 07109-2082 | |
| (973) 751-4040 | |
| (973) 751-4060 |
| Full Name | The Smile Station Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 286 Union Ave, Belleville, New Jersey |
| Authorized Official Name and Position | Robert Lorino (OWNER/MEMBER) |
| Authorized Official Contact | 9737514040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Smile Station Llc 286 Union Ave Belleville NJ 07109-2082 Ph: (973) 751-4040 | The Smile Station Llc 286 Union Ave Belleville NJ 07109-2082 Ph: (973) 751-4040 |
| NPI Number | 1871964908 |
|---|---|
| Provider Enumeration Date | 10/15/2015 |
| Last Update Date | 10/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871964908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 22DI02152600 (New Jersey) | Primary |
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