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Organization

SHINE PEDIATRIC DENTISTRY AND ORTHODONTICS

Active
Other names
Shine Pediatric Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SANJEEV SATWAH (OWNER)
(732) 422-1100
Entity
Organization

Contact information

Practice address
3084 STATE ROUTE 27 STE 10, KENDALL PARK, NJ 08824-1657
(732) 422-1100
Mailing address
3084 STATE ROUTE 27 STE 10, KENDALL PARK, NJ 08824-1657
(732) 422-1100

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry

Other

Enumeration date
01/03/2019
Last updated
01/03/2019
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