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Organization

TOOTHFULLY YOURS DENTAL CARE, PC

Active
Other names
Toothfully Yours
Organization subpart
No

Provider details

NPI number
Authorized official
AMRUTA GODBOLE DDS (DDS)
(646) 808-9083
Entity
Organization

Contact information

Practice address
3043 JOHN F KENNEDY BLVD, JERSEY CITY, NJ 07306-3605
(646) 808-9083
Mailing address
3043 JOHN F KENNEDY BLVD, JERSEY CITY, NJ 07306-3605

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02449200
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0257796
NJ
Enumeration date
02/08/2013
Last updated
02/08/2013
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