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Organization
DENTAL COSMETIC CENTER OF NORTH BRUNSWICK PC
Active
Organization
DENTAL COSMETIC CENTER OF NORTH BRUNSWICK PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAMTA SHAH DDS (DENTIST OWNER)
(848) 702-0872
Entity
Organization
Contact information
Practice address
1648 ROUTE 130 NORTH, SUITE #5, NORTH BRUNSWICK, NJ 08902
(732) 821-8183
(732) 510-5235
Mailing address
1648 ROUTE 130 NORTH, SUITE #5, NORTH BRUNSWICK, NJ 08902
(732) 821-8183
(732) 510-5235
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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