| Colonia Dental Group | |
|
422 Fairview Ave Colonia NJ 07067-3717 | |
| (732) 381-7171 | |
| (732) 499-7958 |
| Full Name | Colonia Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 422 Fairview Ave, Colonia, New Jersey |
| Authorized Official Name and Position | Steven James Cennamo (SEC/TREAS.) |
| Authorized Official Contact | 7323817171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colonia Dental Group 422 Fairview Ave Colonia NJ 07067-3717 Ph: (732) 381-7171 | Colonia Dental Group 422 Fairview Ave Colonia NJ 07067-3717 Ph: (732) 381-7171 |
| NPI Number | 1912011230 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912011230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22DI012965 (New Jersey) | Primary |
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