Organization
PERFECT SMILE DENTAL OFFICE PC
Active
Other names
the perfect smile
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERRI J SHAFFER (MANAGER)
(732) 224-9339
Entity
Organization
Contact information
Practice address
326 BROAD ST, RED BANK, NJ 07701-2167
(732) 224-9339
(732) 224-1342
Mailing address
326 BROAD ST, RED BANK, NJ 07701-2167
(732) 224-9339
(732) 224-1342
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
19585
NJ
Other
Enumeration date
10/26/2007
Last updated
10/26/2007
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