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General NPI Number Information
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NPI Number | 1952112815
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Entity Type | Organization
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Legal Business Name | SWAY DENTAL & FACIAL ESTHETICS LLC
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Dates
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Enumeration Date | 01/18/2025
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Last Update Date | 01/18/2025
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Provider Practice Location Address
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Address Line | 300 NORTH AVE E
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City | CRANFORD
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State | NJ
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Zip | 07016-2488
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Country | US
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Telephone | 908-276-9222
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Fax |
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Provider Business Mailing Address
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Address Line | 185 FAIRFIELD AVE STE 1B
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City | WEST CALDWELL
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State | NJ
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Zip | 07006-6417
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Country | US
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Telephone | 973-228-2335
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. JUSTIN KANG
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Credential | DMD, MS, MPH
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Telephone | 617-894-3438
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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