Garden State Dental Assoc, Llc

NPI 1437226495 - Dentist - 122300000X

NPI Details
NPI 1437226495
Enumeration Date 11/28/2006
Last Updated 06/14/2016
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name CRAIG CRAIG
Position CEO
Phone (201) 291-0935
Fax (480) 772-4538
Practice Location
236 EAST WESTFIELD AVENUE
ROSELLE PARK NJ, 07204, US
Phone (201) 291-0935
Fax (480) 772-4538
Business Location
236 E. WESTFIELD AVENUE
ROSELLE PARK NJ, 07204, US
Phone (908) 241-9700
Fax (908) 241-4741
Toxanomy
Taxonomy Code 122300000X
License State New Jersey
License Number DI16410
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According to our database, Garden State Dental Assoc, Llc NPI is 1437226495, taxonomy code is 122300000X and license number is DI16410, license state is located at New Jersey. Garden State Dental Assoc, Llc physically located at 236 East Westfield Avenue, Roselle Park NJ, 07204. NPI Number 1033115704 has the healthcare provider type.

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1437226495 NPI number is provided on an as is basis without warranty of any kind. 1437226495 is maintained by the National Plan & Provider Enumeration System. The contents of Garden State Dental Assoc, Llc are for informational purposes only.