| Denta Glow Corp | |
|
2787 John F Kennedy Blvd # A13 Jersey City NJ 07306-5531 | |
| (551) 242-4420 | |
| Not Available |
| Full Name | Denta Glow Corp |
|---|---|
| Speciality | Clinic/Center |
| Location | 2787 John F Kennedy Blvd # A13, Jersey City, New Jersey |
| Authorized Official Name and Position | Asmaa Abdeen (DENTIST) |
| Authorized Official Contact | 5512424420 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Denta Glow Corp 17 Butternut St Jersey City NJ 07305-4851 Ph: (551) 242-4420 | Denta Glow Corp 2787 John F Kennedy Blvd # A13 Jersey City NJ 07306-5531 Ph: (551) 242-4420 |
| NPI Number | 1679394704 |
|---|---|
| Provider Enumeration Date | 10/21/2024 |
| Last Update Date | 10/21/2024 |
| Medicare PECOS PAC ID | 0749716769 |
|---|---|
| Medicare Enrollment ID | O20241213000018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679394704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Asmaa Abdeen |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1679216683 PECOS PAC ID: 1658807672 Enrollment ID: I20241213000033 |
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