| Dental Office | |
|
532 New Brunswick Ave Fords NJ 08863 | |
| (732) 738-9087 | |
| (732) 738-7317 |
| Full Name | Dental Office |
|---|---|
| Speciality | Dentist |
| Location | 532 New Brunswick Ave, Fords, New Jersey |
| Authorized Official Name and Position | Stella Efthymiou-backos (DOCTOR/OWNER) |
| Authorized Official Contact | 7327389087 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Office 532 New Brunswick Avenue Fords NJ 08863 Ph: (732) 738-9087 | Dental Office 532 New Brunswick Ave Fords NJ 08863 Ph: (732) 738-9087 |
| NPI Number | 1992929889 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 09/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992929889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DI15467 (New Jersey) | Secondary |
| 122300000X | Dentist | DI16918 (New Jersey) | Primary |
Steven A Puma, D.d.s., Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 373 Ford Ave, Fords, NJ 08863 Phone: 732-549-3114 Fax: 732-549-3115 |