Organization
GALLERY OF SMILES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEANNETTE GLASS-BRUDZINSKI D.M.D. (DENTIST)
(917) 957-4638
Entity
Organization
Contact information
Practice address
220 RIDGEDALE AVE, SUITE B1, FLORHAM PARK, NJ 07932-1348
(973) 295-6600
(973) 295-6601
Mailing address
220 RIDGEDALE AVE, SUITE B1, FLORHAM PARK, NJ 07932-1348
(973) 295-6600
(973) 295-6601
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22DI02297400
NJ
Other
Enumeration date
05/27/2009
Last updated
06/10/2009
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