| Crystal Smiles, Llc | |
|
65 Rues Ln East Brunswick NJ 08816-4240 | |
| (732) 257-4444 | |
| (732) 257-9799 |
| Full Name | Crystal Smiles, Llc |
|---|---|
| Speciality | Dentist |
| Location | 65 Rues Ln, East Brunswick, New Jersey |
| Authorized Official Name and Position | Tejal Darji (DENTIST) |
| Authorized Official Contact | 7322574444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Smiles, Llc 65 Rues Ln East Brunswick NJ 08816-4240 Ph: (732) 257-4444 | Crystal Smiles, Llc 65 Rues Ln East Brunswick NJ 08816-4240 Ph: (732) 257-4444 |
| NPI Number | 1609352012 |
|---|---|
| Provider Enumeration Date | 07/18/2018 |
| Last Update Date | 07/18/2018 |
| Medicare PECOS PAC ID | 6103177308 |
|---|---|
| Medicare Enrollment ID | O20180927001890 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609352012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| Provider Name | Om G Chainani |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1447690136 PECOS PAC ID: 0749579241 Enrollment ID: I20180928000046 |
| Provider Name | Tejal Darji |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1720452105 PECOS PAC ID: 4284985482 Enrollment ID: I20181002001995 |
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