| Smiles On Broadway P.c. | |
|
852 Broadway West Long Branch NJ 07764-1503 | |
| (646) 321-7084 | |
| Not Available |
| Full Name | Smiles On Broadway P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 852 Broadway, West Long Branch, New Jersey |
| Authorized Official Name and Position | Inna Silman (OWNER) |
| Authorized Official Contact | 6463217084 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiles On Broadway P.c. Po Box 76 Manalapan NJ 07726-0076 Ph: () - | Smiles On Broadway P.c. 852 Broadway West Long Branch NJ 07764-1503 Ph: (646) 321-7084 |
| NPI Number | 1346687795 |
|---|---|
| Provider Enumeration Date | 05/24/2013 |
| Last Update Date | 05/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346687795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 22DI02189000 (New Jersey) | Primary |
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