| Tender Smiles 4 Kids Of Monmouth, Llc | |
|
4249 Us Highway 9 Bldg 2 Suite A Freehold NJ 07728-8308 | |
| (732) 625-8080 | |
| (732) 625-8003 |
| Full Name | Tender Smiles 4 Kids Of Monmouth, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4249 Us Highway 9, Freehold, New Jersey |
| Authorized Official Name and Position | Maxim Sulla (OWNER) |
| Authorized Official Contact | 7326258080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tender Smiles 4 Kids Of Monmouth, Llc 4249 Us Highway 9 Bldg 2 Suite A Freehold NJ 07728-8308 Ph: (732) 625-8080 | Tender Smiles 4 Kids Of Monmouth, Llc 4249 Us Highway 9 Bldg 2 Suite A Freehold NJ 07728-8308 Ph: (732) 625-8080 |
| NPI Number | 1942315445 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942315445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 21205 (New Jersey) | Primary |
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