| Union City Smiline Dental, P.c. | |
|
3906 Bergenline Ave. Union City NJ 07087 | |
| (201) 330-7600 | |
| (201) 330-0298 |
| Full Name | Union City Smiline Dental, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 3906 Bergenline Ave., Union City, New Jersey |
| Authorized Official Name and Position | Usha Polavarapu (DENTIST) |
| Authorized Official Contact | 9733725640 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Union City Smiline Dental, P.c. 3906 Bergenline Ave Union City NJ 07087 Ph: (201) 330-7600 | Union City Smiline Dental, P.c. 3906 Bergenline Ave. Union City NJ 07087 Ph: (201) 330-7600 |
| NPI Number | 1417291345 |
|---|---|
| Provider Enumeration Date | 11/15/2012 |
| Last Update Date | 11/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417291345 | NPI | - | NPPES |
| 7421109 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22DI01912600 (New Jersey) | Primary |
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