Organization
CLIFTON DENTAL SPA LLC
Active
Other names
Nuva Smile
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS E MARTINEZ (DIRECTOR OF REVENUE CYCLE)
(732) 801-9176
Entity
Organization
Contact information
Practice address
1240 MAIN AVE STE 2, CLIFTON, NJ 07011-2262
(973) 473-0900
Mailing address
1240 MAIN AVE STE 2, CLIFTON, NJ 07011-2262
(973) 473-0900
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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