Organization
BRILLIANT SMILES DENTAL GROUP - PINE HILL LLC
Active
Other names
Hometown Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE AITKEN DDS (OWNER)
(856) 346-0700
Entity
Organization
Contact information
Practice address
610 BLACKWOOD CLEMENTON RD STE E, PINE HILL, NJ 08021-5213
(856) 346-0700
Mailing address
610 BLACKWOOD CLEMENTON RD STE E, PINE HILL, NJ 08021-5213
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DI02244000
NJ
Other
Enumeration date
07/01/2011
Last updated
07/01/2011
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