Organization
LUNA SMILES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJ DARJI DMD (OWNER/DENTIST)
(856) 938-7606
Entity
Organization
Contact information
Practice address
801 S CHURCH ST STE 11, MOUNT LAUREL, NJ 08054-2572
(856) 866-5511
Mailing address
30 JACKSON RD STE B1, MEDFORD LAKES, NJ 08055-9280
(609) 953-0077
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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