Great Smiles Of New Jersey

NPI 1477622140 - Dentist - 1223G0001X

NPI Details
NPI 1477622140
Enumeration Date 11/07/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MICHELLE MICHELLE
Position OWNER AND MANAGER
Phone (908) 561-0225
Fax (908) 561-0343
Practice Location
10 SHAWNEE DR
SUITE A5
WATCHUNG NJ, 07069-5803, US
Phone (908) 561-0225
Fax (908) 561-0343
Business Location
10 SHAWNEE DR
SUITE A5
WATCHUNG NJ, 07069-5803, US
Phone (908) 561-0225
Fax (908) 561-0343
Toxanomy
Taxonomy Code 1223G0001X
License State
License Number
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According to our database, Great Smiles Of New Jersey NPI is 1477622140, taxonomy code is 1223G0001X Great Smiles Of New Jersey physically located at 10 Shawnee Dr, Watchung NJ, 07069-5803. NPI Number 1033115704 has the healthcare provider type.

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1477622140 NPI number is provided on an as is basis without warranty of any kind. 1477622140 is maintained by the National Plan & Provider Enumeration System. The contents of Great Smiles Of New Jersey are for informational purposes only.