| Kinder Smile Foundation | |
|
248 Lorraine Ave - Suite #12 Upper Montclair NJ 07043 | |
| (973) 744-7003 | |
| (973) 744-7008 |
| Full Name | Kinder Smile Foundation |
|---|---|
| Speciality | Dentist |
| Location | 248 Lorraine Ave -, Upper Montclair, New Jersey |
| Authorized Official Name and Position | Nicole Mae Mcgrath (PRESIDENT) |
| Authorized Official Contact | 9737447003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kinder Smile Foundation P.o. Box 43119 Upper Montclair NJ 07043 Ph: (973) 744-7003 | Kinder Smile Foundation 248 Lorraine Ave - Suite #12 Upper Montclair NJ 07043 Ph: (973) 744-7003 |
| NPI Number | 1629310537 |
|---|---|
| Provider Enumeration Date | 03/19/2013 |
| Last Update Date | 03/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629310537 | NPI | - | NPPES |
| 6204601 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | NJEI17834 (New Jersey) | Primary |
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