| Edison Amazing Smile Dental Llc | |
|
1907 Oak Tree Rd Suite 204 Edison NJ 08820-2070 | |
| (732) 549-0005 | |
| Not Available |
| Full Name | Edison Amazing Smile Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1907 Oak Tree Rd, Edison, New Jersey |
| Authorized Official Name and Position | Suraiya Shaikh (OWNER) |
| Authorized Official Contact | 2403285391 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edison Amazing Smile Dental Llc 1907 Oak Tree Rd Suite 204 Edison NJ 08820-2070 Ph: (732) 549-0005 | Edison Amazing Smile Dental Llc 1907 Oak Tree Rd Suite 204 Edison NJ 08820-2070 Ph: (732) 549-0005 |
| NPI Number | 1609283704 |
|---|---|
| Provider Enumeration Date | 07/21/2014 |
| Last Update Date | 07/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609283704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22DI02559800 (New Jersey) | Primary |
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