| Advanced Dental Anesthesia Services | |
|
111 Route 303 Suite 220 Tappan NY 10983-2133 | |
| (845) 848-2255 | |
| Not Available |
| Full Name | Advanced Dental Anesthesia Services |
|---|---|
| Speciality | Dentist - Dentist Anesthesiologist |
| Location | 111 Route 303, Tappan, New York |
| Authorized Official Name and Position | Rosalie Mendia (OFFICE MANAGER) |
| Authorized Official Contact | 2016607464 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Dental Anesthesia Services 48 Bi State Plz # 268 Old Tappan NJ 07675-7003 Ph: (201) 660-7464 | Advanced Dental Anesthesia Services 111 Route 303 Suite 220 Tappan NY 10983-2133 Ph: (845) 848-2255 |
| NPI Number | 1023479359 |
|---|---|
| Provider Enumeration Date | 03/15/2016 |
| Last Update Date | 03/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023479359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0004X | Dentist - Dentist Anesthesiologist | D102532800 (New Jersey) | Primary |
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