Organization
LOVE YOUR SMILE FAMILY & AESTHETIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEVERLY JAISWAL DMD (OWNER)
(856) 345-9490
Entity
Organization
Contact information
Practice address
196 GROVE AVE, SUITE F, WEST DEPTFORD, NJ 08086
(856) 345-9490
(856) 579-7863
Mailing address
196 GROVE AVE, SUITE F, WEST DEPTFORD, NJ 08086
(856) 345-9490
(856) 579-7863
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22D102504700
NJ
Other
Enumeration date
03/21/2016
Last updated
03/21/2016
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