| Super Smiles Dentistry For Children, Pc | |
|
77 Garland Ln Willingboro NJ 08046-3011 | |
| (609) 880-1500 | |
| Not Available |
| Full Name | Super Smiles Dentistry For Children, Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 77 Garland Ln, Willingboro, New Jersey |
| Authorized Official Name and Position | Howard J. Pactovis (OWNER) |
| Authorized Official Contact | 6098801500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Super Smiles Dentistry For Children, Pc 1221 N Church St Moorestown NJ 08057-1245 Ph: (609) 880-1500 | Super Smiles Dentistry For Children, Pc 77 Garland Ln Willingboro NJ 08046-3011 Ph: (609) 880-1500 |
| NPI Number | 1275937872 |
|---|---|
| Provider Enumeration Date | 10/10/2014 |
| Last Update Date | 10/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275937872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 22DI02292500 (New Jersey) | Primary |
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