| Smart Choice Dental One Pc | |
|
450 Main St Metuchen NJ 08840-1800 | |
| (732) 452-0222 | |
| (732) 452-0220 |
| Full Name | Smart Choice Dental One Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 450 Main St, Metuchen, New Jersey |
| Authorized Official Name and Position | Susan Krutyansky (DENTIST) |
| Authorized Official Contact | 7324520222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smart Choice Dental One Pc 450 Main St Metuchen NJ 08840-1800 Ph: (732) 452-0222 | Smart Choice Dental One Pc 450 Main St Metuchen NJ 08840-1800 Ph: (732) 452-0222 |
| NPI Number | 1013162544 |
|---|---|
| Provider Enumeration Date | 11/25/2008 |
| Last Update Date | 11/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013162544 | NPI | - | NPPES |
| 7956100 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DI20201 (New Jersey) | Primary |
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