| Smilepartnerz, PA | |
|
330 Ratzer Road Suite 23 Wayne NJ 07470 | |
| (973) 694-5101 | |
| (973) 305-1355 |
| Full Name | Smilepartnerz, PA |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 330 Ratzer Road, Wayne, New Jersey |
| Authorized Official Name and Position | Frank Dicicco (PRESIDENT) |
| Authorized Official Contact | 9736945101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smilepartnerz, PA 330 Ratzer Road Suite 23 Wayne NJ 07470 Ph: (973) 694-5101 | Smilepartnerz, PA 330 Ratzer Road Suite 23 Wayne NJ 07470 Ph: (973) 694-5101 |
| NPI Number | 1639533375 |
|---|---|
| Provider Enumeration Date | 04/08/2016 |
| Last Update Date | 04/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639533375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DI1867000 (New Jersey) | Primary |
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