| Toothfully Yours | |
|
3043 John F Kennedy Blvd Jersey City NJ 07306-3605 | |
| (646) 808-9083 | |
| Not Available |
| Full Name | Toothfully Yours |
|---|---|
| Speciality | Dentist |
| Location | 3043 John F Kennedy Blvd, Jersey City, New Jersey |
| Authorized Official Name and Position | Amruta Godbole (DDS) |
| Authorized Official Contact | 6468089083 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Toothfully Yours 3043 John F Kennedy Blvd Jersey City NJ 07306-3605 Ph: () - | Toothfully Yours 3043 John F Kennedy Blvd Jersey City NJ 07306-3605 Ph: (646) 808-9083 |
| NPI Number | 1316286446 |
|---|---|
| Provider Enumeration Date | 02/08/2013 |
| Last Update Date | 02/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316286446 | NPI | - | NPPES |
| 0257796 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22DI02449200 (New Jersey) | Primary |
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