| Pediatric Dentistry Of Wayne | |
|
330 Ratzer Rd Ste C21 Wayne NJ 07470-7704 | |
| (973) 696-6002 | |
| (973) 696-6008 |
| Full Name | Pediatric Dentistry Of Wayne |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 330 Ratzer Rd Ste C21, Wayne, New Jersey |
| Authorized Official Name and Position | Frank J Ferrara (MEMBER) |
| Authorized Official Contact | 9736966002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry Of Wayne 330 Ratzer Rd Ste C21 Wayne NJ 07470-7704 Ph: (973) 696-6002 | Pediatric Dentistry Of Wayne 330 Ratzer Rd Ste C21 Wayne NJ 07470-7704 Ph: (973) 696-6002 |
| NPI Number | 1154771855 |
|---|---|
| Provider Enumeration Date | 06/14/2016 |
| Last Update Date | 06/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154771855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 22D102487500 (New Jersey) | Primary |
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