Organization
SMART CHOICE DENTAL ONE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN KRUTYANSKY D.D.S (DENTIST)
(732) 452-0222
Entity
Organization
Contact information
Practice address
450 MAIN ST, METUCHEN, NJ 08840-1800
(732) 452-0222
(732) 452-0220
Mailing address
450 MAIN ST, METUCHEN, NJ 08840-1800
(732) 452-0222
(732) 452-0220
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI20201
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7956100
—
NJ
Enumeration date
11/25/2008
Last updated
11/25/2008
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