# BRILLIANT SMILES DENTAL GROUP - PINE HILL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hometown Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710274477
- **Authorized official:** MICHELLE AITKEN DDS (OWNER)
- **Authorized official phone:** (856) 346-0700

## Contact information

- **Practice address:** 610 BLACKWOOD CLEMENTON RD STE E, PINE HILL, NJ 08021-5213
- **Practice address phone:** (856) 346-0700
- **Mailing address:** 610 BLACKWOOD CLEMENTON RD STE E, PINE HILL, NJ 08021-5213

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DI02244000 | NJ | Yes |

## Other

- **Enumeration date:** 07/01/2011
- **Last updated:** 07/01/2011