| Comprehensive Pediatric Dentistry | |
|
111 E Union Ave Bound Brook NJ 08805-1761 | |
| (732) 356-1830 | |
| Not Available |
| Full Name | Comprehensive Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 111 E Union Ave, Bound Brook, New Jersey |
| Authorized Official Name and Position | Yasmi O Crystal (OWNER) |
| Authorized Official Contact | 7323561830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Pediatric Dentistry 111 E Union Ave Bound Brook NJ 08805-1761 Ph: (732) 356-1830 | Comprehensive Pediatric Dentistry 111 E Union Ave Bound Brook NJ 08805-1761 Ph: (732) 356-1830 |
| NPI Number | 1043441876 |
|---|---|
| Provider Enumeration Date | 07/28/2009 |
| Last Update Date | 07/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043441876 | NPI | - | NPPES |
| 0188395 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DI15948 (New Jersey) | Primary |
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