| NPI | 1407935430 |
|---|---|
| Doing Business As | SIGNATURE SMILES |
| Entity Type | Organization |
| Authorized Contact | CHRISTINE VITIELLO Credentialing Insurance 856-692-5530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: NJ DI020601) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ DI019933) |
| 1223G0001X Dentist, General Practice (Licence: NJ DI016756) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ DI0227320) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: NJ DI02315500) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NJ DI009211) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NJ DI005987) | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-08-22 |