| 380 Dental Care Group Llc | |
|
380 Fairfield Rd Fairfield NJ 07004-1934 | |
| (973) 402-0595 | |
| (973) 808-1177 |
| Full Name | 380 Dental Care Group Llc |
|---|---|
| Speciality | Dentist |
| Location | 380 Fairfield Rd, Fairfield, New Jersey |
| Authorized Official Name and Position | Derek Lau (OWNER) |
| Authorized Official Contact | 9734020595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 380 Dental Care Group Llc 380 Fairfield Rd Fairfield NJ 07004-1934 Ph: (973) 402-0595 | 380 Dental Care Group Llc 380 Fairfield Rd Fairfield NJ 07004-1934 Ph: (973) 402-0595 |
| NPI Number | 1205566114 |
|---|---|
| Provider Enumeration Date | 06/14/2022 |
| Last Update Date | 06/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205566114 | NPI | - | NPPES |
| 0000000 | Other | NJ | 00000000 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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