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Organization
TOOTHFULLY YOURS DENTAL CARE, PC
Active
Organization
TOOTHFULLY YOURS DENTAL CARE, PC
Active
Other names
Toothfully Yours
Organization subpart
No
Provider details
NPI number
Authorized official
AMRUTA GODBOLE DDS (DDS)
(646) 808-9083
Entity
Organization
Contact information
Practice address
3043 JOHN F KENNEDY BLVD, JERSEY CITY, NJ 07306-3605
(646) 808-9083
Mailing address
3043 JOHN F KENNEDY BLVD, JERSEY CITY, NJ 07306-3605
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02449200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0257796
—
NJ
Enumeration date
02/08/2013
Last updated
02/08/2013
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