| Alta Dental Llc | |
|
901 Teaneck Rd Fl 2n Teaneck NJ 07666-4511 | |
| (201) 837-2727 | |
| Not Available |
| Full Name | Alta Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 901 Teaneck Rd Fl 2n, Teaneck, New Jersey |
| Authorized Official Name and Position | Altay Khanmamedov (OWNER/PROVIDER) |
| Authorized Official Contact | 9178815977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alta Dental Llc 901 Teaneck Rd Fl 2n Teaneck NJ 07666-4511 Ph: (201) 837-2727 | Alta Dental Llc 901 Teaneck Rd Fl 2n Teaneck NJ 07666-4511 Ph: (201) 837-2727 |
| NPI Number | 1508698556 |
|---|---|
| Provider Enumeration Date | 08/19/2024 |
| Last Update Date | 08/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508698556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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