Kinnelon Dental Group

NPI 1073671392 - Dentist - 122300000X

NPI Details
NPI 1073671392
Enumeration Date 12/06/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JESSICA LEE JESSICA
Position EMPLOYEE
Phone (973) 838-5585
Fax (973) 838-6258
Practice Location
11 KIEL AVE
KINNELON NJ, 07405-2549, US
Phone (973) 838-5585
Fax (973) 838-6258
Business Location
11 KIEL AVE
KINNELON NJ, 07405-2549, US
Phone (973) 838-5585
Fax (973) 838-6258
Toxanomy
Taxonomy Code 122300000X
License State New Jersey
License Number DI02262300
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According to our database, Kinnelon Dental Group NPI is 1073671392, taxonomy code is 122300000X and license number is DI02262300, license state is located at New Jersey. Kinnelon Dental Group physically located at 11 Kiel Ave, Kinnelon NJ, 07405-2549. NPI Number 1033115704 has the healthcare provider type.

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1073671392 NPI number is provided on an as is basis without warranty of any kind. 1073671392 is maintained by the National Plan & Provider Enumeration System. The contents of Kinnelon Dental Group are for informational purposes only.