Deluxe Dentistry Llc | |
100 Federal City Rd # 104b Lawrenceville NJ 08648-1664 | |
(609) 718-7997 | |
(888) 575-1408 |
Full Name | Deluxe Dentistry Llc |
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Speciality | Clinic/center - Dental |
Location | 100 Federal City Rd # 104b, Lawrenceville, New Jersey |
Authorized Official Name and Position | Maxim Godko (OWNER/MANAGER) |
Authorized Official Contact | 6097187997 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Deluxe Dentistry Llc 100 Federal City Rd # 104b Lawrenceville NJ 08648-1664 Ph: (609) 718-7997 | Deluxe Dentistry Llc 100 Federal City Rd # 104b Lawrenceville NJ 08648-1664 Ph: (609) 718-7997 |
NPI Number | 1902450224 |
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Provider Enumeration Date | 07/25/2019 |
Last Update Date | 07/25/2019 |
Identifier | Type | State | Issuer |
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1902450224 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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