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Organization
BLAIRSTOWN SMILE STUDIO
Active
Organization
BLAIRSTOWN SMILE STUDIO
Active
Other names
Blairstown Smile Studio
Organization subpart
No
Provider details
NPI number
Authorized official
JANE YEH (CO-OWNER)
(908) 362-7008
Entity
Organization
Contact information
Practice address
807 NJ ROUTE 94, BLAIRSTOWN, NJ 07825-1202
(908) 362-7008
Mailing address
807 NJ ROUTE 94, BLAIRSTOWN, NJ 07825-1202
(908) 362-7008
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114594025
PRICILLA JUNG
NJ
01
—
1245873934
MINA FARAG
NJ
01
—
1295812287
WON HEE TAK
NJ
Enumeration date
09/28/2022
Last updated
09/28/2022
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