Organization
A BEAUTIFUL SMILE DENTISTRY, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID JIN DDS (OWNER)
(201) 224-4400
Entity
Organization
Contact information
Practice address
1315 ANDERSON AVE, STE A, FORT LEE, NJ 07024-1732
(201) 224-4400
(201) 224-4418
Mailing address
1315 ANDERSON AVE, STE A, FORT LEE, NJ 07024-1732
(201) 224-4400
(201) 224-4418
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
047558-1
NY
122300000X
Dentist
22DI02183600
NJ
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/24/2005
Last updated
10/09/2024
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