Irie Dental Associates Llc

NPI 1215131172 - Dentist - 1223G0001X

NPI Details
NPI 1215131172
Enumeration Date 06/13/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RUTH ELAINE RUTH
Position OWNER
Phone (973) 743-4743
Fax (973) 743-4780
Practice Location
275 BROAD ST
1ST FLOOR
BLOOMFIELD NJ, 07003-2724, US
Phone (973) 743-4743
Fax (973) 743-4780
Business Location
275 BROAD ST
1ST FLOOR
BLOOMFIELD NJ, 07003-2724, US
Phone (973) 743-4743
Fax (973) 743-4780
Toxanomy
Taxonomy Code 1223G0001X
License State New Jersey
License Number DI123123
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According to our database, Irie Dental Associates Llc NPI is 1215131172, taxonomy code is 1223G0001X and license number is DI123123, license state is located at New Jersey. Irie Dental Associates Llc physically located at 275 Broad St, Bloomfield NJ, 07003-2724. NPI Number 1033115704 has the healthcare provider type.

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1215131172 NPI number is provided on an as is basis without warranty of any kind. 1215131172 is maintained by the National Plan & Provider Enumeration System. The contents of Irie Dental Associates Llc are for informational purposes only.