Designing Smiles LLC
Clinic/Center, Dental in Hackensack, NJ. Organization (NPI-2).
NPI number1528126307
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1528126307
- Entity type
- Organization (NPI-2)
- Legal business name
- Designing Smiles LLC
- Organization subpart
- No
- Enumeration date
- Dec 5, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | DI20512 | NJ | Yes |
Practice location
121 Elm AvenueFirst Floor
Hackensack, NJ 07601
Phone 201-343-4302 · Fax 201-343-4304
Mailing address
121 Elm AvenueFirst Floor
Hackensack, NJ 07601
Phone 201-343-4302 · Fax 201-343-4304
Authorized official
Judith Mamah
President
2013434302
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