Fine Family Dental Llc

NPI 1740531029 - Clinic/Center - 261QD0000X

NPI Details
NPI 1740531029
Enumeration Date 09/26/2012
Last Updated 09/26/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name CRAIG IRVIN CRAIG
Position PRESIDENT
Phone (201) 569-9393
Fax
Practice Location
240 E PALISADE AVE
SUITE 11-C
ENGLEWOOD NJ, 07631-3169, US
Phone (201) 569-9393
Fax
Business Location
64 WOODLAND DR
WOODLAND PARK NJ, 07424-3707, US
Phone (973) 830-0814
Fax
Toxanomy
Taxonomy Code 261QD0000X
License State New Jersey
License Number 22DI02318500
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According to our database, Fine Family Dental Llc NPI is 1740531029, taxonomy code is 261QD0000X and license number is 22DI02318500, license state is located at New Jersey. Fine Family Dental Llc physically located at 240 E Palisade Ave, Englewood NJ, 07631-3169. NPI Number 1033115704 has the healthcare provider type.

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1740531029 NPI number is provided on an as is basis without warranty of any kind. 1740531029 is maintained by the National Plan & Provider Enumeration System. The contents of Fine Family Dental Llc are for informational purposes only.