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Organization
SMILE USA FOR RECONSTRUCTIVE DENTISTRY
Active
Organization
SMILE USA FOR RECONSTRUCTIVE DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANKAR IYER DDS MDS (PRESIDENT)
(908) 527-8880
Entity
Organization
Contact information
Practice address
469 MORRIS AVE, STE. 300, ELIZABETH, NJ 07208-1967
(908) 527-8880
(908) 527-8587
Mailing address
469 MORRIS AVE STE 300, ELIZABETH, NJ 07208-1967
(908) 527-8880
(908) 527-8587
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1020481
NJ
1223P0700X
Prosthodontics
Primary
19245
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7221509
—
NJ
Enumeration date
04/15/2008
Last updated
04/15/2008
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