Organization
GSS - MATAWAN DENTAL, LLC
Active
Other names
Garden State Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD HENDRICKS (CREDENTIALING)
(612) 859-0444
Entity
Organization
Contact information
Practice address
125 MAIN ST, MATAWAN, NJ 07747-2654
(732) 984-4110
Mailing address
125 MAIN ST, MATAWAN, NJ 07747-2654
(732) 984-4110
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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