| Eastern Dental Of Passaic Essex, Llc | |
|
251 Clifton Ave Clifton NJ 07011-1961 | |
| (973) 478-9300 | |
| Not Available |
| Full Name | Eastern Dental Of Passaic Essex, Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 251 Clifton Ave, Clifton, New Jersey |
| Authorized Official Name and Position | Benedict Antonecchia (DIRECTOR) |
| Authorized Official Contact | 9734789300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Dental Of Passaic Essex, Llc 1030 Saint Georges Ave Avenel NJ 07001-1390 Ph: () - | Eastern Dental Of Passaic Essex, Llc 251 Clifton Ave Clifton NJ 07011-1961 Ph: (973) 478-9300 |
| NPI Number | 1902954001 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902954001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 11905 (New Jersey) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 10967 (New Jersey) | Primary |
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