Organization
MAXIM SULLA,DDS, PROFESSIONAL ASSOCIATION
Active
Other names
Tender Smiles 4 Kids
Organization subpart
No
Provider details
NPI number
Authorized official
MAXIM SULLA D.D.S. (OWNER/PRESIDENT)
(732) 249-1010
Entity
Organization
Contact information
Practice address
1330 HOW LN, NORTH BRUNSWICK, NJ 08902-1702
(732) 249-1010
(732) 220-0177
Mailing address
1330 HOW LN, NORTH BRUNSWICK, NJ 08902-1702
(732) 249-1010
(732) 220-0177
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DI 21205
NJ
Other
Enumeration date
07/16/2006
Last updated
03/20/2015
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