Provider Demographics
NPI:1275951030
Name:GROWING SMILES OF VOORHEES
Entity Type:Organization
Organization Name:GROWING SMILES OF VOORHEES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SONNY
Authorized Official - Middle Name:
Authorized Official - Last Name:SEKHON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:856-770-1770
Mailing Address - Street 1:2140 VOORHEES TOWN CTR
Mailing Address - Street 2:MALL, 2ND FLOOR NEXT TO MACY'S
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-1911
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2140 VOORHEES TOWN CTR
Practice Address - Street 2:MALL, 2ND FLOOR NEXT TO MACY'S
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-1911
Practice Address - Country:US
Practice Address - Phone:856-770-1770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-30
Last Update Date:2014-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02337500261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental