| Elizabeth Smiline Dental, Llc | |
|
1206 E Grand St Elizabeth NJ 07201-2309 | |
| (908) 351-4860 | |
| (908) 351-4865 |
| Full Name | Elizabeth Smiline Dental, Llc |
|---|---|
| Speciality | Dentist |
| Location | 1206 E Grand St, Elizabeth, New Jersey |
| Authorized Official Name and Position | Usha Polavarapu (DENTIST) |
| Authorized Official Contact | 9083514860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Smiline Dental, Llc 1206 E Grand St Elizabeth NJ 07201-2309 Ph: (908) 351-4860 | Elizabeth Smiline Dental, Llc 1206 E Grand St Elizabeth NJ 07201-2309 Ph: (908) 351-4860 |
| NPI Number | 1831498328 |
|---|---|
| Provider Enumeration Date | 03/23/2011 |
| Last Update Date | 03/23/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831498328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22DI01912604 (New Jersey) | Primary |
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