# TOOTHFULLY YOURS DENTAL CARE, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Toothfully Yours
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316286446
- **Authorized official:** AMRUTA GODBOLE DDS (DDS)
- **Authorized official phone:** (646) 808-9083

## Contact information

- **Practice address:** 3043 JOHN F KENNEDY BLVD, JERSEY CITY, NJ 07306-3605
- **Practice address phone:** (646) 808-9083
- **Mailing address:** 3043 JOHN F KENNEDY BLVD, JERSEY CITY, NJ 07306-3605

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22DI02449200 | NJ | Yes |

## Other

- **Enumeration date:** 02/08/2013
- **Last updated:** 02/08/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0257796 | — | NJ |
