| State Of The Art Smiles | |
|
560a Lippincott Dr Bldg B Marlton NJ 08053 | |
| (856) 985-1800 | |
| (856) 985-7170 |
| Full Name | State Of The Art Smiles |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 560a Lippincott Dr Bldg B, Marlton, New Jersey |
| Authorized Official Name and Position | Blake Entralgo (OWNER) |
| Authorized Official Contact | 2818516064 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| State Of The Art Smiles 560a Lippincott Dr Bldg B Marlton NJ 08053 Ph: (856) 985-1800 | State Of The Art Smiles 560a Lippincott Dr Bldg B Marlton NJ 08053 Ph: (856) 985-1800 |
| NPI Number | 1710491626 |
|---|---|
| Provider Enumeration Date | 11/30/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710491626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 22DI02666400 (New Jersey) | Primary |
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