# LAWRENCEVILLE DENTAL ASSOCIATES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Simply Beautiful Smiles of Lawrenceville
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114216496
- **Authorized official:** DR. CHARLES J ROSE DMD (OWNER)
- **Authorized official phone:** (609) 883-1770

## Contact information

- **Practice address:** 1200 LAWRENCEVILLE RD, SUITE 2, LAWRENCEVILLE, NJ 08648-3551
- **Practice address phone:** (609) 883-1770
- **Practice address fax:** (609) 883-1777
- **Mailing address:** 1200 LAWRENCEVILLE RD, SUITE 2, LAWRENCEVILLE, NJ 08648-3551
- **Mailing address phone:** (609) 883-1770
- **Mailing address fax:** (609) 883-1777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22DI01462203 | NJ | Yes |

## Other

- **Enumeration date:** 04/07/2011
- **Last updated:** 04/07/2011