Dentismiles, Llc | |
2200 New York Ave Union City NJ 07087-4502 | |
(201) 863-0426 | |
(201) 758-5566 |
Full Name | Dentismiles, Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 2200 New York Ave, Union City, New Jersey |
Authorized Official Name and Position | Ismari Enedina Labrada (SOLE MEMBER) |
Authorized Official Contact | 2018630426 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dentismiles, Llc 2200 New York Ave Union City NJ 07087-4502 Ph: (201) 863-0426 | Dentismiles, Llc 2200 New York Ave Union City NJ 07087-4502 Ph: (201) 863-0426 |
NPI Number | 1710296249 |
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Provider Enumeration Date | 10/01/2010 |
Last Update Date | 02/27/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710296249 | NPI | - | NPPES |
0066443 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 22DI02261701 (New Jersey) | Primary |
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