Organization
ATLANTIC SMILES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC JOSEPH PUKENAS DMD (DENTIST/OWNER)
(609) 645-1900
Entity
Organization
Contact information
Practice address
3069 ENGLISH CREEK AVE, SUITE #304, EGG HARBOR TOWNSHIP, NJ 08234-9708
(609) 645-1900
Mailing address
3069 ENGLISH CREEK AVE, SUITE #304, EGG HARBOR TOWNSHIP, NJ 08234-9708
(609) 645-1900
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DI 02299000
NJ
Other
Enumeration date
07/23/2008
Last updated
07/23/2008
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