| Garden State Healthy Smile Pc | |
|
170 Morris Ave Ste A Long Branch NJ 07740-6660 | |
| (732) 728-7075 | |
| (732) 728-0337 |
| Full Name | Garden State Healthy Smile Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 170 Morris Ave Ste A, Long Branch, New Jersey |
| Authorized Official Name and Position | Namik Yusufov (PROVIDER) |
| Authorized Official Contact | 7327287075 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Garden State Healthy Smile Pc 170 Morris Ave Ste A Long Branch NJ 07740-6660 Ph: (732) 728-7075 | Garden State Healthy Smile Pc 170 Morris Ave Ste A Long Branch NJ 07740-6660 Ph: (732) 728-7075 |
| NPI Number | 1174036990 |
|---|---|
| Provider Enumeration Date | 11/15/2017 |
| Last Update Date | 11/15/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174036990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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