Organization
PRISTINE SMILES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPAK PANKAJ MEHTA (OWNER)
(856) 361-8069
Entity
Organization
Contact information
Practice address
2301 E EVESHAM RD STE 105, VOORHEES, NJ 08043-4502
(856) 361-8069
Mailing address
3305 ABITARE BLVD, VOORHEES, NJ 08043-2687
(856) 361-8069
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/30/2021
Last updated
10/30/2021
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