Organization
CHILD SMILES SPEC LLC
Active
Other names
Childsmiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL SKOLNICK (OWNER)
(973) 578-8788
Entity
Organization
Contact information
Practice address
67-73 FILLMORE STREET, NEWARK, NJ 07105
(908) 469-9100
Mailing address
67-73 FILLMORE ST, NEWARK, NJ 07105-2406
(908) 469-9100
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
12/01/2015
Last updated
02/25/2020
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