| Garden State Smiles | |
|
125 Main St Matawan NJ 07747-2654 | |
| (732) 639-0000 | |
| Not Available |
| Full Name | Garden State Smiles |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 125 Main St, Matawan, New Jersey |
| Authorized Official Name and Position | Vlad Detinich (OWNER) |
| Authorized Official Contact | 7326390000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Garden State Smiles 125 Main St Matawan NJ 07747-2654 Ph: (732) 639-0000 | Garden State Smiles 125 Main St Matawan NJ 07747-2654 Ph: (732) 639-0000 |
| NPI Number | 1801365218 |
|---|---|
| Provider Enumeration Date | 11/14/2018 |
| Last Update Date | 11/14/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801365218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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