Organization
OLD BRIDGE PEDIATRIC DENTISTRY LLC
Active
Other names
Nuva Smile Kids
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS E MARTINEZ (DIRECTOR OF REVENUE CYCLE)
(732) 801-9176
Entity
Organization
Contact information
Practice address
3333 US HIGHWAY 9 FL 2, OLD BRIDGE, NJ 08857-2691
(732) 737-7336
Mailing address
3333 US HIGHWAY 9 FL 2, OLD BRIDGE, NJ 08857-2691
(732) 737-7336
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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