Lama Dental Group Pc

NPI 1265631725 - Clinic/Center - 261QD0000X

NPI Details
NPI 1265631725
Enumeration Date 07/15/2007
Last Updated 07/15/2007
Entity Type Healthcare Provider
Active Over 9 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
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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.