| Collado Dental Corp | |
|
1315 Palisade Ave Union City NJ 07087-7426 | |
| (201) 865-8900 | |
| Not Available |
| Full Name | Collado Dental Corp |
|---|---|
| Speciality | Dentist |
| Location | 1315 Palisade Ave, Union City, New Jersey |
| Authorized Official Name and Position | Gilda Pena Tejada (DOCTOR/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 2018658900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Collado Dental Corp 1315 Palisade Ave Union City NJ 07087-7426 Ph: (201) 865-8900 | Collado Dental Corp 1315 Palisade Ave Union City NJ 07087-7426 Ph: (201) 865-8900 |
| NPI Number | 1598546897 |
|---|---|
| Provider Enumeration Date | 10/12/2023 |
| Last Update Date | 10/16/2023 |
| Medicare PECOS PAC ID | 0840646659 |
|---|---|
| Medicare Enrollment ID | O20231031002460 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598546897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Gilda Pena Tejada |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1992828495 PECOS PAC ID: 1759737562 Enrollment ID: I20231031002580 |
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