State Street Smiles Pediatric Dentistry Llc.

NPI #1386883668 in Hackensack, New Jersey

Provider Information

NPI Number
1386883668
Entity Type
Organization
Organization Name
State Street Smiles Pediatric Dentistry Llc.
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Feb 11, 2009
Last Updated
Feb 11, 2009

Practice Location

Address
405 STATE ST
ZIP Code
07601-4421
Phone
(201) 487-7030

Authorized Official

Name
DR. EDWARD M JACKSON, DMD,FAAP
Title
PEDIATRIC DENTIST
Phone
(201) 487-7030

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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