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Organization
BEAUTIFUL SMILES DENTISTRY INC.
Active
Organization
BEAUTIFUL SMILES DENTISTRY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A TALTAVALL DMD (PRESIDENT)
(973) 628-1449
Entity
Organization
Contact information
Practice address
166 MAIN ST STE 1B, LINCOLN PARK, NJ 07035-1791
(973) 628-1449
(973) 696-0037
Mailing address
PO BOX 457, 166 MAIN STREET SUITE 1B, LINCOLN PARK, NJ 07035-0457
(973) 628-1449
(973) 696-0037
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI18340NJ
NJ
Other
Enumeration date
11/13/2014
Last updated
11/13/2014
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