| Beacon Family Dental, P.a. | |
|
8 Baldwin Ave Jersey City NJ 07304-3154 | |
| (201) 327-6139 | |
| Not Available |
| Full Name | Beacon Family Dental, P.a. |
|---|---|
| Speciality | Dentist |
| Location | 8 Baldwin Ave, Jersey City, New Jersey |
| Authorized Official Name and Position | Ramesh Kianfar Taheri (PRESIDENT /OWNER) |
| Authorized Official Contact | 2017240600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Family Dental, P.a. 8 Baldwin Ave Jersey City NJ 07304-3154 Ph: () - | Beacon Family Dental, P.a. 8 Baldwin Ave Jersey City NJ 07304-3154 Ph: (201) 327-6139 |
| NPI Number | 1952791394 |
|---|---|
| Provider Enumeration Date | 01/23/2015 |
| Last Update Date | 01/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952791394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22DI02163100 (New Jersey) | Primary |
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