| Brilliant Smiles Dental Group - Magnolia Llc | |
|
402 White Horse Pike S Magnolia NJ 08049-1061 | |
| (856) 566-9700 | |
| Not Available |
| Full Name | Brilliant Smiles Dental Group - Magnolia Llc |
|---|---|
| Speciality | Dentist |
| Location | 402 White Horse Pike S, Magnolia, New Jersey |
| Authorized Official Name and Position | Michelle Aitken (OWNER) |
| Authorized Official Contact | 8565669700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brilliant Smiles Dental Group - Magnolia Llc 402 White Horse Pike S Magnolia NJ 08049-1061 Ph: () - | Brilliant Smiles Dental Group - Magnolia Llc 402 White Horse Pike S Magnolia NJ 08049-1061 Ph: (856) 566-9700 |
| NPI Number | 1538455324 |
|---|---|
| Provider Enumeration Date | 06/21/2011 |
| Last Update Date | 06/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538455324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DI02244000 (New Jersey) | Primary |