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Organization

SMILE BY KYLE

Active
Other names
Brielle Hills Dental
Organization subpart
No

Provider details

NPI number
Authorized official
KENNETH DITMARS (BUSINESS MANAGER)
(732) 736-9100
Entity
Organization

Contact information

Practice address
2640 ROUTE 70 STE 2D, MANASQUAN, NJ 08736-2610
(732) 223-2334
Mailing address
2640 ROUTE 70 STE 2D, MANASQUAN, NJ 08736-2610
(732) 223-2334

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
332BC3200X
Customized Equipment (DME)

Other

Enumeration date
11/26/2025
Last updated
01/20/2026
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