Organization
CHILDSMILES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL SKOLNICK DMD (PRESIDENT)
(973) 578-8788
Entity
Organization
Contact information
Practice address
66 SOMME ST, 2ND FLOOR, NEWARK, NJ 07105
(973) 578-8788
(973) 578-8799
Mailing address
66 SOMME ST, NEWARK, NJ 07105-3612
(973) 578-8788
(973) 578-8799
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22D102349300
NJ
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
22D102353600
NJ
Other
Enumeration date
08/12/2008
Last updated
08/29/2018
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