Organization
WILSON SMILES DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. UMA KANIKICHARLA MD (CEO)
(732) 857-7247
Entity
Organization
Contact information
Practice address
41-51 WILSON AVE STE 2-D, NEWARK, NJ 07105-3269
(973) 589-7337
Mailing address
41-51 WILSON AVE STE 2-D, NEWARK, NJ 07105-3269
(973) 589-7337
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/20/2019
Last updated
06/11/2019
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