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Organization
JERSEY SMILE DENTAL, LLC
Active
Organization
JERSEY SMILE DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SVETLANA KONSTANTINOVA D.D.S. (CO-OWNER/DENTIST)
(732) 387-2360
Entity
Organization
Contact information
Practice address
407 MAIN ST, SPOTSWOOD, NJ 08884-1739
(732) 387-2360
(732) 387-2561
Mailing address
407 MAIN ST, SPOTSWOOD, NJ 08884-1739
(732) 387-2360
(732) 387-2561
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22DI02322000
NJ
Other
Enumeration date
04/28/2014
Last updated
04/28/2014
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