| Divine Dental Llc | |
|
485 S Washington Ave Bergenfield NJ 07621-4313 | |
| (201) 345-8881 | |
| Not Available |
| Full Name | Divine Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 485 S Washington Ave, Bergenfield, New Jersey |
| Authorized Official Name and Position | James Kang (OWNER) |
| Authorized Official Contact | 2013458881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divine Dental Llc 485 S Washington Ave Bergenfield NJ 07621-4313 Ph: (201) 345-8881 | Divine Dental Llc 485 S Washington Ave Bergenfield NJ 07621-4313 Ph: (201) 345-8881 |
| NPI Number | 1336772664 |
|---|---|
| Provider Enumeration Date | 02/14/2020 |
| Last Update Date | 02/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336772664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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