NPI | 1174540959 |
---|---|
Doing Business As | TENDER SMILES 4 KIDS |
Entity Type | Organization |
Authorized Contact | MAXIM SULLA Owner/President 732-249-1010 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ DI 21205) |
Enumeration Date | 2006-07-16 |
Last Update Date | 2015-03-20 |