| Magic Smile Dental Pc | |
|
515 N Wood Ave Suite 101 Linden NJ 07036-4173 | |
| (908) 486-5000 | |
| (908) 486-5006 |
| Full Name | Magic Smile Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 515 N Wood Ave, Linden, New Jersey |
| Authorized Official Name and Position | Yefim Khanimov (OWNER) |
| Authorized Official Contact | 9084865000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magic Smile Dental Pc 515 N Wood Ave Suite 101 Linden NJ 07036-4173 Ph: (908) 486-5000 | Magic Smile Dental Pc 515 N Wood Ave Suite 101 Linden NJ 07036-4173 Ph: (908) 486-5000 |
| NPI Number | 1497944458 |
|---|---|
| Provider Enumeration Date | 10/16/2007 |
| Last Update Date | 10/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497944458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 23087 (New Jersey) | Primary |
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