# GRACIOUS SMILES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760992432
- **Authorized official:** DR. MELBA PATRICIA BONELLI DMD (CEO)
- **Authorized official phone:** (609) 923-5730

## Contact information

- **Practice address:** 121 MARKET ST., CAMDEN, NJ 08102
- **Practice address phone:** (609) 744-1200
- **Practice address fax:** (856) 983-9003
- **Mailing address:** 121 MARKET ST., CAMDEN, NJ 08102
- **Mailing address phone:** (609) 744-1200
- **Mailing address fax:** (856) 983-9003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DI19272 | NJ | Yes |
| 1223G0001X | General Practice Dentistry | DI19272 | NJ | — |

## Other

- **Enumeration date:** 10/06/2017
- **Last updated:** 10/06/2017