Glow Dental Spa P.c. | |
506 Hamburg Tpke Suite 101 Wayne NJ 07470-2068 | |
(973) 942-6550 | |
(973) 942-6553 |
Full Name | Glow Dental Spa P.c. |
---|---|
Speciality | Dentist |
Location | 506 Hamburg Tpke, Wayne, New Jersey |
Authorized Official Name and Position | Behshad Ahkami (DOCTOR) |
Authorized Official Contact | 9739426550 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Glow Dental Spa P.c. 506 Hamburg Tpke Suite 101 Wayne NJ 07470-2068 Ph: (973) 942-6550 | Glow Dental Spa P.c. 506 Hamburg Tpke Suite 101 Wayne NJ 07470-2068 Ph: (973) 942-6550 |
NPI Number | 1033587381 |
---|---|
Provider Enumeration Date | 09/03/2015 |
Last Update Date | 09/03/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033587381 | NPI | - | NPPES |
24362NJ | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DI020826 (New Jersey) | Primary |
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