| Desalvo Dental | |
|
264 Columbia Ave Fort Lee NJ 07024 | |
| (201) 224-3232 | |
| (201) 224-6030 |
| Full Name | Desalvo Dental |
|---|---|
| Speciality | Dentist |
| Location | 264 Columbia Ave, Fort Lee, New Jersey |
| Authorized Official Name and Position | Patricia Gina Desalvo (DENTIST OWNER) |
| Authorized Official Contact | 2012243232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desalvo Dental 264 Columbia Ave Fort Lee NJ 07024 Ph: (201) 224-3232 | Desalvo Dental 264 Columbia Ave Fort Lee NJ 07024 Ph: (201) 224-3232 |
| NPI Number | 1619045333 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 01/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619045333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DI017994 (New Jersey) | Primary |
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