Organization
AUTHENTIC SMILES FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMED OMAR DMD (DENTIST)
(267) 307-4834
Entity
Organization
Contact information
Practice address
777 BLACKWOOD CLEMENTON RD, LINDENWOLD, NJ 08021-5966
(267) 307-4834
Mailing address
112 MINUTEMAN LN, SWEDESBORO, NJ 08085-4234
(267) 307-4834
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/08/2018
Last updated
12/08/2018
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