Abc Pediatric Dental Care, P.c. | |
810 Abbott Blvd Ste 303 Fort Lee NJ 07024-4116 | |
(201) 224-9968 | |
(201) 224-9969 |
Full Name | Abc Pediatric Dental Care, P.c. |
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Speciality | Dentist - Pediatric Dentistry |
Location | 810 Abbott Blvd Ste 303, Fort Lee, New Jersey |
Authorized Official Name and Position | Maria K Shin (PRESIDENT/PEDIATRIC DENTIST) |
Authorized Official Contact | 2012249968 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Abc Pediatric Dental Care, P.c. 810 Abbott Blvd Ste 303 Fort Lee NJ 07024-4116 Ph: (201) 224-9968 | Abc Pediatric Dental Care, P.c. 810 Abbott Blvd Ste 303 Fort Lee NJ 07024-4116 Ph: (201) 224-9968 |
NPI Number | 1124112958 |
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Provider Enumeration Date | 10/03/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124112958 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | DI020279 (New Jersey) | Primary |
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