| NPI | 1063148302 |
|---|---|
| Doing Business As | PROMENADE SMILES |
| Entity Type | Organization |
| Authorized Contact | RICKEN PATEL Co Owner 732-213-0036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-07-28 |
| Last Update Date | 2022-07-28 |