Organization
SMART CHOICE DENTAL ONE. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN KRUTYANSKY D.D.S. (VICE PRESIDENT)
(732) 452-0222
Entity
Organization
Contact information
Practice address
450 MAIN STREET, METUCHEN, NJ 08840
(732) 452-0222
(732) 452-0220
Mailing address
450 MAIN STREET, METUCHEN, NJ 08840
(732) 452-0222
(732) 452-0220
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI20201
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7956304
—
NJ
Enumeration date
10/25/2006
Last updated
02/03/2009
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