# HEALTHY SMILES OF GLOUCESTER CITY

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

## Provider details

- **NPI number:** 1790100360
- **Authorized official:** DR. MOONI DILIP SHAH DDS (MEMBER)
- **Authorized official phone:** (856) 456-2682

## Contact information

- **Practice address:** 535 MONMOUTH ST, GLOUCESTER CITY, NJ 08030-1502
- **Practice address phone:** (856) 456-2682
- **Mailing address:** 535 MONMOUTH ST, GLOUCESTER CITY, NJ 08030-1502
- **Mailing address phone:** (856) 456-2682

## Taxonomy

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

## Other

- **Enumeration date:** 02/19/2014
- **Last updated:** 02/19/2014