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Organization

SMILE DEN LLC

Active
Other names
The Smile Den
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PURVY SHAH DMD (OWNER/ORTHODONTIST)
(267) 210-1849
Entity
Organization

Contact information

Practice address
119 COLUMBIA TPKE STE 201, FLORHAM PARK, NJ 07932-2906
(973) 210-4910
Mailing address
119 COLUMBIA TPKE STE 201, FLORHAM PARK, NJ 07932-2906
(973) 210-4910

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry

Other

Enumeration date
04/17/2024
Last updated
04/17/2024
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