Aesthetic Smiles Of Wayne Professional Association | |
896 Valley Road Wayne NJ 07470-2971 | |
(973) 696-2444 | |
(973) 696-2888 |
Full Name | Aesthetic Smiles Of Wayne Professional Association |
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Speciality | Dentist - General Practice |
Location | 896 Valley Road, Wayne, New Jersey |
Authorized Official Name and Position | Henry Ellis (OWNER OFFICE MANAGER) |
Authorized Official Contact | 9736962444 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Aesthetic Smiles Of Wayne Professional Association 896 Valley Road Wayne NJ 07470-2971 Ph: (973) 696-2444 | Aesthetic Smiles Of Wayne Professional Association 896 Valley Road Wayne NJ 07470-2971 Ph: (973) 696-2444 |
NPI Number | 1275798639 |
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Provider Enumeration Date | 07/25/2008 |
Last Update Date | 07/25/2008 |
Identifier | Type | State | Issuer |
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1275798639 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 22DI02134100 (New Jersey) | Primary |
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