# DENTAL COSMETIC CENTRE OF PISCATAWAY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Doctor Silman Smile Spa
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558751941
- **Authorized official:** DR. MAMTA SHAH (OWNER)
- **Authorized official phone:** (732) 562-1111

## Contact information

- **Practice address:** 1100 CENTENNIAL AVE, PISCATAWAY, NJ 08854-4152
- **Practice address phone:** (857) 225-6905
- **Mailing address:** 236 BLEW CT, EAST BRUNSWICK, NJ 08816-1838
- **Mailing address phone:** (857) 225-6905

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DI02591900 | NJ | Yes |

## Other

- **Enumeration date:** 01/23/2015
- **Last updated:** 01/23/2015