# LUNA SMILES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144089962
- **Authorized official:** RAJ DARJI DMD (OWNER/DENTIST)
- **Authorized official phone:** (856) 938-7606

## Contact information

- **Practice address:** 801 S CHURCH ST STE 11, MOUNT LAUREL, NJ 08054-2572
- **Practice address phone:** (856) 866-5511
- **Mailing address:** 30 JACKSON RD STE B1, MEDFORD LAKES, NJ 08055-9280
- **Mailing address phone:** (609) 953-0077

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 261QD0000X | Dental Clinic/Center | — | — | — |

## Other

- **Enumeration date:** 03/14/2024
- **Last updated:** 03/14/2024