| NPI | 1730959834 |
|---|---|
| Doing Business As | LUCKY SMILES DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MAMATHA VALISHETTY Member 732-207-9775 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2024-01-09 |