| Canal Vista Family Dental, Llc | |
|
100 Canal Pointe Blvd Suite 116 Princeton NJ 08540-7063 | |
| (609) 452-8630 | |
| (609) 452-1688 |
| Full Name | Canal Vista Family Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 100 Canal Pointe Blvd, Princeton, New Jersey |
| Authorized Official Name and Position | Nesrine Bestandji (MEMBER) |
| Authorized Official Contact | 9084002954 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canal Vista Family Dental, Llc 100 Canal Pointe Blvd Suite 116 Princeton NJ 08540-7063 Ph: (609) 452-8630 | Canal Vista Family Dental, Llc 100 Canal Pointe Blvd Suite 116 Princeton NJ 08540-7063 Ph: (609) 452-8630 |
| NPI Number | 1780115220 |
|---|---|
| Provider Enumeration Date | 03/26/2017 |
| Last Update Date | 03/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780115220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22DI02466900 (New Jersey) | Primary |
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