Aesthetic Smiles of Wayne Professional Association
NPI #1275798639 in Wayne, New Jersey
Provider Information
- NPI Number
- 1275798639
- Entity Type
- Organization
- Organization Name
- Aesthetic Smiles of Wayne Professional Association
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 25, 2008
- Last Updated
- Jul 25, 2008
Practice Location
- Address
- 896 VALLEY ROAD
- City
- Wayne
- State
- New Jersey
- ZIP Code
- 07470-2971
- Phone
- (973) 696-2444
Authorized Official
- Name
- HENRY ELLIS III
- Title
- OWNER OFFICE MANAGER
- Phone
- (973) 696-2444
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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