| Dental Group Of Westfield Pa | |
|
120 St Paul Street Westfield NJ 07090 | |
| (908) 232-6672 | |
| (908) 232-3998 |
| Full Name | Dental Group Of Westfield Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 120 St Paul Street, Westfield, New Jersey |
| Authorized Official Name and Position | John Wiley (CEO) |
| Authorized Official Contact | 9082326672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Group Of Westfield Pa 120 St Paul Street Westfield NJ 07090 Ph: (908) 232-6672 | Dental Group Of Westfield Pa 120 St Paul Street Westfield NJ 07090 Ph: (908) 232-6672 |
| NPI Number | 1790864908 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790864908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22D100755500 (New Jersey) | Primary |
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