| Children's Dentistry Of Passaic Llc | |
|
124 Gregory Ave Suite 303 Passaic NJ 07055-4856 | |
| (973) 859-0538 | |
| (862) 249-2949 |
| Full Name | Children's Dentistry Of Passaic Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 124 Gregory Ave, Passaic, New Jersey |
| Authorized Official Name and Position | Padma Joshi (DENTIST OWNER) |
| Authorized Official Contact | 9738590538 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Dentistry Of Passaic Llc 124 Gregory Ave Suite 303 Passaic NJ 07055-4856 Ph: (973) 859-0538 | Children's Dentistry Of Passaic Llc 124 Gregory Ave Suite 303 Passaic NJ 07055-4856 Ph: (973) 859-0538 |
| NPI Number | 1780990820 |
|---|---|
| Provider Enumeration Date | 08/26/2010 |
| Last Update Date | 08/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780990820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DI020195 (New Jersey) | Primary |
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