Vitruvian Dental Corporation

NPI 1760890750 - Dentist - 122300000X

NPI Details
NPI 1760890750
Enumeration Date 07/23/2014
Last Updated 07/23/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name SANG SANG
Position DENTIST
Phone (201) 746-6003
Fax
Practice Location
577 CHESTNUT RIDGE RD
WOODCLIFF LAKE NJ, 07677-8409, US
Phone (201) 746-6003
Fax
Business Location
577 CHESTNUT RIDGE RD
WOODCLIFF LAKE NJ, 07677-8409, US
Phone (201) 746-6003
Fax
Toxanomy
Taxonomy Code 122300000X
License State New Jersey
License Number 21228
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According to our database, Vitruvian Dental Corporation NPI is 1760890750, taxonomy code is 122300000X and license number is 21228, license state is located at New Jersey. Vitruvian Dental Corporation physically located at 577 Chestnut Ridge Rd, Woodcliff Lake NJ, 07677-8409. NPI Number 1033115704 has the healthcare provider type.

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1760890750 NPI number is provided on an as is basis without warranty of any kind. 1760890750 is maintained by the National Plan & Provider Enumeration System. The contents of Vitruvian Dental Corporation are for informational purposes only.