Organization
GLAMOROUS SMILE DENTAL SPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY ALKAMARY (PRESIDENT)
(973) 912-9091
Entity
Organization
Contact information
Practice address
420 MORRIS AVE, SPRINGFIELD, NJ 07081-1156
(973) 912-9091
Mailing address
420 MORRIS AVE, SPRINGFIELD, NJ 07081-1156
(973) 912-9091
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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