Organization
SICKLERVILLE SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARYAM MODESTO DMD (OWNER/DENTIST)
(201) 709-2802
Entity
Organization
Contact information
Practice address
423 SICKLERVILLE RD, SICKLERVILLE, NJ 08081-2555
(856) 728-9200
(856) 728-4550
Mailing address
423 SICKLERVILLE RD, SICKLERVILLE, NJ 08081-2555
(856) 728-9200
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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