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Organization
THE SMILE SPA OF NORTH JERSEY,LLC
Active
Organization
THE SMILE SPA OF NORTH JERSEY,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBRA ROSENBLATT DDS (PROPRIETER)
(201) 445-2797
Entity
Organization
Contact information
Practice address
251 GODWIN AVE, MIDLAND PARK, NJ 07432-1882
(201) 445-2797
(201) 445-8340
Mailing address
251 GODWIN AVE, MIDLAND PARK, NJ 07432-1882
(201) 445-2797
(201) 445-8340
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14180
NJ
1223P0300X
Periodontics
2920508
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1301802
—
NJ
Enumeration date
04/17/2008
Last updated
05/10/2010
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