STATE STREET SMILES

Advanced Practice Dental Therapist

Active Organization
NPI: 1073060612

Practice Address

405 MAIN STREET
Hackensack, NJ 07601

Phone: (201) 487-7030

Specialties

Specialty Code Primary License
Advanced Practice Dental Therapist 125K00000X Yes -

Frequently Asked Questions

NPI 1073060612 is the National Provider Identifier for STATE STREET SMILES, a Advanced Practice Dental Therapist provider located in Hackensack, NJ. This NPI was enumerated on September 1, 2016.

Quick Facts

NPI
1073060612
Type
Organization
Enumerated
Sep 1, 2016
Last Updated
Sep 1, 2016

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