Livingston Tooth Fairy Family Llc | |
598 Livingston Ave North Brunswick NJ 08902-2443 | |
(732) 545-0709 | |
Not Available |
Full Name | Livingston Tooth Fairy Family Llc |
---|---|
Speciality | Clinic/center - Dental |
Location | 598 Livingston Ave, North Brunswick, New Jersey |
Authorized Official Name and Position | Marjan Habibian (OWNER) |
Authorized Official Contact | 7325450709 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Livingston Tooth Fairy Family Llc 598 Livingston Ave North Brunswick NJ 08902-2443 Ph: (732) 545-0709 | Livingston Tooth Fairy Family Llc 598 Livingston Ave North Brunswick NJ 08902-2443 Ph: (732) 545-0709 |
NPI Number | 1164859922 |
---|---|
Provider Enumeration Date | 10/10/2013 |
Last Update Date | 10/10/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164859922 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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