| Abc Pediatric Dental Care, P.c. | |
|
810 Abbott Blvd Ste 303 Fort Lee NJ 07024-4116 | |
| (201) 224-9968 | |
| (201) 224-9969 |
| Full Name | Abc Pediatric Dental Care, P.c. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 810 Abbott Blvd Ste 303, Fort Lee, New Jersey |
| Authorized Official Name and Position | Maria K Shin (PRESIDENT/PEDIATRIC DENTIST) |
| Authorized Official Contact | 2012249968 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abc Pediatric Dental Care, P.c. 810 Abbott Blvd Ste 303 Fort Lee NJ 07024-4116 Ph: (201) 224-9968 | Abc Pediatric Dental Care, P.c. 810 Abbott Blvd Ste 303 Fort Lee NJ 07024-4116 Ph: (201) 224-9968 |
| NPI Number | 1124112958 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124112958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DI020279 (New Jersey) | Primary |
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