Organization
BRACES & SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PARESH SHAH (SOLE MEMBER LLC)
(201) 647-6778
Entity
Organization
Contact information
Practice address
285 DURHAM AVE, SUITE 2B, SOUTH PLAINFIELD, NJ 07080-2546
(908) 731-7878
Mailing address
9 BOEHM DR, PARLIN, NJ 08859-2177
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DI02314300
NJ
Other
Enumeration date
06/08/2015
Last updated
06/08/2015
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