| Tender Smiles Of Roselle Pa | |
|
2209 Wood Ave Roselle NJ 07203-2930 | |
| (908) 245-5556 | |
| Not Available |
| Full Name | Tender Smiles Of Roselle Pa |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2209 Wood Ave, Roselle, New Jersey |
| Authorized Official Name and Position | Maxim Sulla (OWNER) |
| Authorized Official Contact | 7322491010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tender Smiles Of Roselle Pa 1330 How Ln North Brunswick NJ 08902-1702 Ph: (732) 249-1010 | Tender Smiles Of Roselle Pa 2209 Wood Ave Roselle NJ 07203-2930 Ph: (908) 245-5556 |
| NPI Number | 1063999506 |
|---|---|
| Provider Enumeration Date | 07/27/2018 |
| Last Update Date | 07/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063999506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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