| New Jersey Dental Associate | |
|
1355 15th St Fort Lee NJ 07024-2039 | |
| (201) 585-8585 | |
| Not Available |
| Full Name | New Jersey Dental Associate |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1355 15th St, Fort Lee, New Jersey |
| Authorized Official Name and Position | Khaled Eldin (OWNER) |
| Authorized Official Contact | 2015858585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Jersey Dental Associate 1355 15th St Fort Lee NJ 07024-2039 Ph: (201) 585-8585 | New Jersey Dental Associate 1355 15th St Fort Lee NJ 07024-2039 Ph: (201) 585-8585 |
| NPI Number | 1215441142 |
|---|---|
| Provider Enumeration Date | 11/30/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215441142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 22DI02128400 (New Jersey) | Primary |
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