Organization
CHILDSMILES PC HOLDINGS NJ PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL SKOLNICK DMD (ORTHODONTIST)
(973) 578-8788
Entity
Organization
Contact information
Practice address
45 BLEEKER ST, NEWARK, NJ 07102-1913
(973) 578-8788
(973) 578-8799
Mailing address
45 BLEEKER ST, NEWARK, NJ 07102-1913
(973) 578-8788
(973) 578-8799
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223P0221X
Pediatric Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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