Tiny Teeth Of Lakewood Pc | |
1000 Route 70 Ste 8 Lakewood NJ 08701-5961 | |
(848) 245-0779 | |
(848) 245-0780 |
Full Name | Tiny Teeth Of Lakewood Pc |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 1000 Route 70 Ste 8, Lakewood, New Jersey |
Authorized Official Name and Position | Zaki Mustacchi (OWNER) |
Authorized Official Contact | 8482450779 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tiny Teeth Of Lakewood Pc 1000 Route 70 Ste 8 Lakewood NJ 08701-5961 Ph: (848) 245-0779 | Tiny Teeth Of Lakewood Pc 1000 Route 70 Ste 8 Lakewood NJ 08701-5961 Ph: (848) 245-0779 |
NPI Number | 1104642669 |
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Provider Enumeration Date | 12/02/2024 |
Last Update Date | 12/02/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104642669 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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