| Midjersey Smiles Llc | |
|
1447 Route 18 Old Bridge NJ 08857 | |
| (732) 727-0895 | |
| Not Available |
| Full Name | Midjersey Smiles Llc |
|---|---|
| Speciality | Dentist |
| Location | 1447 Route 18, Old Bridge, New Jersey |
| Authorized Official Name and Position | Kuma Kalaria (PARTNER) |
| Authorized Official Contact | 7327270895 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midjersey Smiles Llc 1447 Route 18 Old Bridge NJ 08857 Ph: (732) 727-0895 | Midjersey Smiles Llc 1447 Route 18 Old Bridge NJ 08857 Ph: (732) 727-0895 |
| NPI Number | 1609314962 |
|---|---|
| Provider Enumeration Date | 02/07/2017 |
| Last Update Date | 02/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609314962 | NPI | - | NPPES |
| 1750616389 | Other | NJ | HEALTH CARE PROVIDER |
| 1053577833 | Other | NJ | HEALTH CARE PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22DI02406100 (New Jersey) | Secondary |
| 122300000X | Dentist | 22DI02383502 (New Jersey) | Primary |
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