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Organization

WYCKOFF DENTAL SPA LLC

Active
Other names
Nuva Smile
Organization subpart
No

Provider details

NPI number
Authorized official
LUIS E MARTINEZ (DIRECTOR OF REVENUE CYCLE)
(732) 801-9176
Entity
Organization

Contact information

Practice address
541 CEDAR HILL AVE, WYCKOFF, NJ 07481-2150
(201) 444-2383
Mailing address
541 CEDAR HILL AVE, WYCKOFF, NJ 07481-2150
(201) 444-2383

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
01/22/2024
Last updated
01/22/2024
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