| Shine Pediatric Dentistry And Orthodontics | |
|
3084 State Route 27 Ste 10 Kendall Park NJ 08824-1657 | |
| (732) 422-1100 | |
| Not Available |
| Full Name | Shine Pediatric Dentistry And Orthodontics |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3084 State Route 27 Ste 10, Kendall Park, New Jersey |
| Authorized Official Name and Position | Sanjeev Satwah (OWNER) |
| Authorized Official Contact | 7324221100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shine Pediatric Dentistry And Orthodontics 3084 State Route 27 Ste 10 Kendall Park NJ 08824-1657 Ph: (732) 422-1100 | Shine Pediatric Dentistry And Orthodontics 3084 State Route 27 Ste 10 Kendall Park NJ 08824-1657 Ph: (732) 422-1100 |
| NPI Number | 1205309143 |
|---|---|
| Provider Enumeration Date | 01/03/2019 |
| Last Update Date | 01/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205309143 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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