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Organization
MIDJERSEY SMILES LLC
Active
Organization
MIDJERSEY SMILES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KUMA KALARIA (PARTNER)
(732) 727-0895
Entity
Organization
Contact information
Practice address
1447 ROUTE 18, OLD BRIDGE, NJ 08857
(732) 727-0895
Mailing address
1447 ROUTE 18, OLD BRIDGE, NJ 08857
(732) 727-0895
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02383502
NJ
122300000X
Dentist
22DI02406100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053577833
HEALTH CARE PROVIDER
NJ
01
—
1750616389
HEALTH CARE PROVIDER
NJ
Enumeration date
02/07/2017
Last updated
02/07/2017
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