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Organization
AMAZING SMILES, LLC
Active
Organization
AMAZING SMILES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD ALAN KOSOFSKY DMD (DIRECTOR)
(732) 662-9313
Entity
Organization
Contact information
Practice address
1907 OAK TREE RD, SUITE 204, EDISON, NJ 08820-2070
(732) 662-9313
(732) 662-9315
Mailing address
1907 OAK TREE RD, SUITE 204, EDISON, NJ 08820-2070
(732) 662-9313
(732) 662-9315
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
10840
NJ
Other
Enumeration date
07/17/2009
Last updated
07/17/2009
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