| Love Your Smile Dental Center Llc | |
|
1529 Route 206 Unit D Tabernacle NJ 08088 | |
| (609) 801-2486 | |
| (609) 801-2565 |
| Full Name | Love Your Smile Dental Center Llc |
|---|---|
| Speciality | Dentist |
| Location | 1529 Route 206, Tabernacle, New Jersey |
| Authorized Official Name and Position | Richard J. Weber (OWNER) |
| Authorized Official Contact | 6098012486 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Love Your Smile Dental Center Llc 1529 Route 206 Unit D Tabernacle NJ 08088 Ph: (609) 801-2486 | Love Your Smile Dental Center Llc 1529 Route 206 Unit D Tabernacle NJ 08088 Ph: (609) 801-2486 |
| NPI Number | 1699287912 |
|---|---|
| Provider Enumeration Date | 10/26/2017 |
| Last Update Date | 10/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699287912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22DI02515600 (New Jersey) | Primary |