| Surfside Smile Company Llc | |
|
1692 Highway 35 Middletown NJ 07748 | |
| (757) 214-1091 | |
| Not Available |
| Full Name | Surfside Smile Company Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1692 Highway 35, Middletown, New Jersey |
| Authorized Official Name and Position | Kristianne Macaraeg Kracke (OWNER) |
| Authorized Official Contact | 7572141091 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Surfside Smile Company Llc 2404 Cherry St Manasquan NJ 08736-1523 Ph: () - | Surfside Smile Company Llc 1692 Highway 35 Middletown NJ 07748 Ph: (757) 214-1091 |
| NPI Number | 1679280630 |
|---|---|
| Provider Enumeration Date | 10/31/2022 |
| Last Update Date | 01/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679280630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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