STATE STREET SMILES

HACKENSACK, NJ
NPI1073060612
Entity TypeOrganization
Authorized ContactEDWARD JACKSON
Doctor
201-487-7030
Organization Subpart ?Yes
Primary Taxonomy125K00000X Advanced Practice Dental Therapist
Enumeration Date2016-09-01
Last Update Date2016-09-01
Business Address
STATE STREET SMILES
405 MAIN STREET
HACKENSACK, NJ 07601
Phone number: 201-487-7030
Mailing Address
STATE STREET SMILES
405 MAIN ST
HACKENSACK, NJ 07601-5965
Phone number: 201-487-7030