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Organization

UNION CITY SMILINE DENTAL, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
USHA POLAVARAPU D.D.S (DENTIST)
(973) 372-5640
Entity
Organization

Contact information

Practice address
3906 BERGENLINE AVE., UNION CITY, NJ 07087
(201) 330-7600
(201) 330-0298
Mailing address
3906 BERGENLINE AVE, UNION CITY, NJ 07087
(201) 330-7600
(201) 330-0298

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI01912600
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7421109
NJ
Enumeration date
11/15/2012
Last updated
11/15/2012
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