| Dental Star Of New Jersey Pc | |
|
74 Route 9 Englishtown NJ 07726-9209 | |
| (732) 972-7770 | |
| (732) 972-7705 |
| Full Name | Dental Star Of New Jersey Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 74 Route 9, Englishtown, New Jersey |
| Authorized Official Name and Position | Vladimir Alexander Potepalov (DIRECTOR) |
| Authorized Official Contact | 7329727770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Star Of New Jersey Pc 74 Route 9 Englishtown NJ 07726-9209 Ph: (732) 972-7770 | Dental Star Of New Jersey Pc 74 Route 9 Englishtown NJ 07726-9209 Ph: (732) 972-7770 |
| NPI Number | 1275183279 |
|---|---|
| Provider Enumeration Date | 09/12/2019 |
| Last Update Date | 09/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275183279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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