NPI | 1275296717 |
---|---|
Doing Business As | ADVANCED SMILE CENTER |
Entity Type | Organization |
Authorized Contact | HARISH GOGINENI Chief Dental Officer 732-986-4338 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-10-21 |
Last Update Date | 2021-10-21 |