| Wilson Smiles Dental Llc | |
|
41-51 Wilson Ave Ste 2-d Newark NJ 07105-3269 | |
| (973) 589-7337 | |
| Not Available |
| Full Name | Wilson Smiles Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 41-51 Wilson Ave Ste 2-d, Newark, New Jersey |
| Authorized Official Name and Position | Uma Kanikicharla (CEO) |
| Authorized Official Contact | 7328577247 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilson Smiles Dental Llc 41-51 Wilson Ave Ste 2-d Newark NJ 07105-3269 Ph: (973) 589-7337 | Wilson Smiles Dental Llc 41-51 Wilson Ave Ste 2-d Newark NJ 07105-3269 Ph: (973) 589-7337 |
| NPI Number | 1124585674 |
|---|---|
| Provider Enumeration Date | 02/20/2019 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124585674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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