| Community Smiles Of Elizabeth Pa | |
|
1100 N Broad St Hillside NJ 07205 | |
| (908) 409-7100 | |
| (908) 409-5300 |
| Full Name | Community Smiles Of Elizabeth Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1100 N Broad St, Hillside, New Jersey |
| Authorized Official Name and Position | Schanze Zaidi (COMPLIANCE OFFICER) |
| Authorized Official Contact | 6094030710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Smiles Of Elizabeth Pa 235 Meadowbrook Rd Robbinsville NJ 08691 Ph: (732) 318-7121 | Community Smiles Of Elizabeth Pa 1100 N Broad St Hillside NJ 07205 Ph: (908) 409-7100 |
| NPI Number | 1376169094 |
|---|---|
| Provider Enumeration Date | 06/18/2020 |
| Last Update Date | 06/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376169094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Liza Dental Management Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1219 Liberty Ave, Hillside, NJ 07205 Phone: 908-352-2207 Fax: 908-352-2208 |