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Organization

TENDER SMILES OF OCEAN PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MAXIM SULLA DDS (OWNER)
(732) 249-1010
Entity
Organization

Contact information

Practice address
105 BERKELEY AVE, OCEAN, NJ 07712-4707
(732) 774-7008
Mailing address
1330 HOW LN, NORTH BRUNSWICK, NJ 08902-1702
(732) 249-1100

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
06/12/2021
Last updated
09/24/2025
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