Organization
SMILE DENTAL CENTER OF N.J., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAHESHKUMAR K SHAH (OWNER)
(201) 861-4600
Entity
Organization
Contact information
Practice address
7110 BERGENLINE AVE, NORTH BERGEN, NJ 07047-5415
(201) 861-4600
Mailing address
566 MILL RUN, PARAMUS, NJ 07652-1755
(201) 445-9092
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19391
NJ
Other
Enumeration date
05/02/2007
Last updated
04/16/2009
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