Community Smiles of Elizabeth PA
NPI #1376169094 in Hillside, New Jersey
Provider Information
- NPI Number
- 1376169094
- Entity Type
- Organization
- Organization Name
- Community Smiles of Elizabeth PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 18, 2020
- Last Updated
- Jun 30, 2020
Practice Location
- Address
- 1100 N BROAD ST
- City
- Hillside
- State
- New Jersey
- ZIP Code
- 07205
- Phone
- (908) 409-7100
Authorized Official
- Name
- SCHANZE ZAIDI
- Title
- COMPLIANCE OFFICER
- Phone
- (609) 403-0710
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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