| NPI | 1104287952 |
|---|---|
| Doing Business As | MY SMILE DENTAL |
| Entity Type | Organization |
| Authorized Contact | TEJAL PATEL Owner 201-865-9293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NJ 22D102564300) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ 22D102602300) |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2016-03-08 |