Organization
ORANGE STREET SPEC LLC
Active
Other names
Childsmiles
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ETHAN SKOLNICK (OWNER)
(973) 578-8788
Entity
Organization
Contact information
Practice address
509A ORANGE STREET SUITE A, NEWARK, NJ 07107
(973) 273-4023
Mailing address
509A ORANGE STREET SUITE A, NEWARK, NJ 07107
(973) 273-4023
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
08/13/2018
Last updated
02/25/2020
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