Freehold Smiles Family Dentistry P.a. | |
122 Professional View Dr Building 100 Freehold NJ 07728-7902 | |
(732) 625-9600 | |
(732) 625-9800 |
Full Name | Freehold Smiles Family Dentistry P.a. |
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Speciality | Dentist - General Practice |
Location | 122 Professional View Dr, Freehold, New Jersey |
Authorized Official Name and Position | Maxim Sulla (OWNER) |
Authorized Official Contact | 7326259600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Freehold Smiles Family Dentistry P.a. 122 Professional View Dr Building 100 Freehold NJ 07728-7902 Ph: (732) 625-9600 | Freehold Smiles Family Dentistry P.a. 122 Professional View Dr Building 100 Freehold NJ 07728-7902 Ph: (732) 625-9600 |
NPI Number | 1831532878 |
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Provider Enumeration Date | 04/09/2013 |
Last Update Date | 04/09/2013 |
Identifier | Type | State | Issuer |
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1831532878 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 22DI02407801 (New Jersey) | Primary |
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