Organization
GRACIOUS SMILES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELBA PATRICIA BONELLI DMD (CEO)
(609) 923-5730
Entity
Organization
Contact information
Practice address
121 MARKET ST., CAMDEN, NJ 08102
(609) 744-1200
(856) 983-9003
Mailing address
121 MARKET ST., CAMDEN, NJ 08102
(609) 744-1200
(856) 983-9003
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DI19272
NJ
1223G0001X
General Practice Dentistry
DI19272
NJ
Other
Enumeration date
10/06/2017
Last updated
10/06/2017
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