Brightsmiles4kids, Llc | |
121 Shelley Dr Ste 1a-1b Hackettstown NJ 07840-2530 | |
(908) 979-0606 | |
(908) 979-9996 |
Full Name | Brightsmiles4kids, Llc |
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Speciality | Clinic/center - Dental |
Location | 121 Shelley Dr Ste 1a-1b, Hackettstown, New Jersey |
Authorized Official Name and Position | Sangita Madan (OWNER) |
Authorized Official Contact | 9089790606 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Brightsmiles4kids, Llc 121 Shelley Dr Ste 1a-1b Hackettstown NJ 07840-2530 Ph: (908) 979-0606 | Brightsmiles4kids, Llc 121 Shelley Dr Ste 1a-1b Hackettstown NJ 07840-2530 Ph: (908) 979-0606 |
NPI Number | 1609242635 |
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Provider Enumeration Date | 08/13/2015 |
Last Update Date | 08/13/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609242635 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | DI17807 (New Jersey) | Primary |
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