| Dentistry For Children Of West Essex Llc | |
|
412 Pleasant Valley Way West Orange NJ 07052 | |
| (973) 731-2468 | |
| (973) 731-2501 |
| Full Name | Dentistry For Children Of West Essex Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 412 Pleasant Valley Way, West Orange, New Jersey |
| Authorized Official Name and Position | Richard Wayne Eytel (OWNER PARTNER) |
| Authorized Official Contact | 9737312468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentistry For Children Of West Essex Llc 412 Pleasant Valley Way West Orange NJ 07052 Ph: (973) 731-2468 | Dentistry For Children Of West Essex Llc 412 Pleasant Valley Way West Orange NJ 07052 Ph: (973) 731-2468 |
| NPI Number | 1871623306 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871623306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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