Organization
TENDER SMILES OF OLD BRIDGE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAXIM SULLA DDS (OWNER)
(732) 249-1010
Entity
Organization
Contact information
Practice address
3333 ROUTE 9 N, OLD BRIDGE, NJ 08857-2691
(732) 249-1010
(732) 220-0177
Mailing address
1330 HOW LN, NORTH BRUNSWICK, NJ 08902-1702
(732) 249-1010
(732) 220-0177
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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