Organization
SMILES ON BROADWAY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. INNA SILMAN DDS (OWNER)
(646) 321-7084
Entity
Organization
Contact information
Practice address
852 BROADWAY, WEST LONG BRANCH, NJ 07764-1503
(646) 321-7084
Mailing address
PO BOX 76, MANALAPAN, NJ 07726-0076
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22DI02189000
NJ
Other
Enumeration date
05/24/2013
Last updated
05/24/2013
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