| Gracious Smiles, Inc. | |
|
121 Market St. Camden NJ 08102 | |
| (609) 744-1200 | |
| (856) 983-9003 |
| Full Name | Gracious Smiles, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 121 Market St., Camden, New Jersey |
| Authorized Official Name and Position | Melba Patricia Bonelli (CEO) |
| Authorized Official Contact | 6099235730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gracious Smiles, Inc. 121 Market St. Camden NJ 08102 Ph: (609) 744-1200 | Gracious Smiles, Inc. 121 Market St. Camden NJ 08102 Ph: (609) 744-1200 |
| NPI Number | 1760992432 |
|---|---|
| Provider Enumeration Date | 10/06/2017 |
| Last Update Date | 10/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760992432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DI19272 (New Jersey) | Primary |
| 1223G0001X | Dentist - General Practice | DI19272 (New Jersey) | Secondary |
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