Organization
SONRISA DENTAL SPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHALED G ELDIN DDS (OWNER)
(609) 547-3232
Entity
Organization
Contact information
Practice address
915 ELIZABETH AVE, ELIZABETH, NJ 07201-2791
(609) 547-3232
Mailing address
915 ELIZABETH AVE, ELIZABETH, NJ 07201-2791
(160) 954-7323
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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