Brilliant Smiles Dental Group - Magnolia LLC

NPI #1538455324 in Magnolia, New Jersey

Provider Information

NPI Number: 1538455324
Entity Type: Organization
Organization Name: Brilliant Smiles Dental Group - Magnolia LLC
Primary Specialty: Dentist
Enumeration Date: Jun 21, 2011
Last Updated: Jun 21, 2011

Practice Location

Address: 402 WHITE HORSE PIKE S
City: Magnolia
State: New Jersey
ZIP Code: 08049-1061
Phone: (856) 566-9700

Authorized Official

Name: DR. MICHELLE AITKEN, DDS
Title: OWNER
Phone: (856) 566-9700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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