| Rising Smiles Pediatric Dentistry Inc | |
|
100 Summit Ave Hackensack NJ 07601-1263 | |
| (201) 820-0100 | |
| (201) 820-0099 |
| Full Name | Rising Smiles Pediatric Dentistry Inc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 100 Summit Ave, Hackensack, New Jersey |
| Authorized Official Name and Position | Adelfi E Molina (OWNER) |
| Authorized Official Contact | 2015431790 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rising Smiles Pediatric Dentistry Inc 176 Summit Ave Hackensack NJ 07601-1310 Ph: (201) 525-0202 | Rising Smiles Pediatric Dentistry Inc 100 Summit Ave Hackensack NJ 07601-1263 Ph: (201) 820-0100 |
| NPI Number | 1962992925 |
|---|---|
| Provider Enumeration Date | 05/15/2018 |
| Last Update Date | 05/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962992925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 22DI01993700 (New Jersey) | Primary |
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