| NPI Details | |
|---|---|
| NPI | 1265631725 |
| Enumeration Date | 07/15/2007 |
| Last Updated | 07/15/2007 |
| Entity Type | Healthcare Provider |
| Active | Over 10 years ago |
| Authorized Information | |
|---|---|
| Name | SVETLANA SVETLANA |
| Position | PRESIDENT |
| Phone | (201) 791-2170 |
| Fax | |
| Practice Location | |
|---|---|
| 26-07 BROADWAY SUITE 23 FAIR LAWN NJ, 07410-3832, US |
|
| Phone | (201) 791-2170 |
| Fax | |
| Business Location | |
|---|---|
| 26-07 BROADWAY SUITE 23 FAIR LAWN NJ, 07410-3832, US |
|
| Phone | (201) 791-2170 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 261QD0000X |
| License State | New Jersey |
| License Number | 22DI02015900 |
| Remove 1265631725 NPI Number | |
According to our database, Lama Dental Group Pc NPI is 1265631725, taxonomy code is 261QD0000X and license number is 22DI02015900, license state is located at New Jersey. Lama Dental Group Pc physically located at 26-07 Broadway, Fair Lawn NJ, 07410-3832. NPI Number 1033115704 has the healthcare provider type.
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1265631725 NPI number is provided on an as is basis without warranty of any kind. 1265631725 is maintained by the National Plan & Provider Enumeration System. The contents of Lama Dental Group Pc are for informational purposes only.
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