| Brilliant Smiles Dental Group - Pine Hill Llc | |
|
610 Blackwood Clementon Rd Ste E Pine Hill NJ 08021-5213 | |
| (856) 346-0700 | |
| Not Available |
| Full Name | Brilliant Smiles Dental Group - Pine Hill Llc |
|---|---|
| Speciality | Dentist |
| Location | 610 Blackwood Clementon Rd Ste E, Pine Hill, New Jersey |
| Authorized Official Name and Position | Michelle Aitken (OWNER) |
| Authorized Official Contact | 8563460700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brilliant Smiles Dental Group - Pine Hill Llc 610 Blackwood Clementon Rd Ste E Pine Hill NJ 08021-5213 Ph: () - | Brilliant Smiles Dental Group - Pine Hill Llc 610 Blackwood Clementon Rd Ste E Pine Hill NJ 08021-5213 Ph: (856) 346-0700 |
| NPI Number | 1710274477 |
|---|---|
| Provider Enumeration Date | 07/01/2011 |
| Last Update Date | 07/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710274477 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DI02244000 (New Jersey) | Primary |