Individual
DR. EDWARD JAY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2 W HANOVER AVE, SUITE 201, RANDOLPH, NJ 07869-4222
(973) 895-5111
(973) 895-5142
Mailing address
2 W HANOVER AVE, SUITE 201, RANDOLPH, NJ 07869-4222
(973) 895-5111
(973) 895-5142
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DI14801
NJ
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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