| Chilton Dental Group Llc | |
|
465 North Ave Elizabeth NJ 07208-1737 | |
| (908) 352-4438 | |
| (908) 352-4525 |
| Full Name | Chilton Dental Group Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 465 North Ave, Elizabeth, New Jersey |
| Authorized Official Name and Position | Pardeep K Sidhu (PRESIDENT) |
| Authorized Official Contact | 9083524438 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chilton Dental Group Llc 465 North Ave Elizabeth NJ 07208-1737 Ph: (908) 352-4438 | Chilton Dental Group Llc 465 North Ave Elizabeth NJ 07208-1737 Ph: (908) 352-4438 |
| NPI Number | 1134266760 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134266760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DI22241 (New Jersey) | Primary |
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