Childsmiles | |
65 Jefferson Ave Elizabeth NJ 07201-2474 | |
(908) 469-9100 | |
Not Available |
Full Name | Childsmiles |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 65 Jefferson Ave, Elizabeth, New Jersey |
Authorized Official Name and Position | Michael Ethan Skolnick (OWNER) |
Authorized Official Contact | 9084699100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Childsmiles 65 Jefferson Ave Elizabeth NJ 07201-2474 Ph: (908) 469-9100 | Childsmiles 65 Jefferson Ave Elizabeth NJ 07201-2474 Ph: (908) 469-9100 |
NPI Number | 1497235030 |
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Provider Enumeration Date | 08/14/2018 |
Last Update Date | 08/14/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497235030 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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