| Ecladent Dental Studio Llc | |
|
139 South St Ste 104 New Providence NJ 07974-1999 | |
| (917) 856-9529 | |
| Not Available |
| Full Name | Ecladent Dental Studio Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 139 South St Ste 104, New Providence, New Jersey |
| Authorized Official Name and Position | Irina Fainvets (OWNER) |
| Authorized Official Contact | 9178569529 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ecladent Dental Studio Llc 240 W Westfield Ave Apt 438 Roselle Park NJ 07204-2069 Ph: (917) 856-9529 | Ecladent Dental Studio Llc 139 South St Ste 104 New Providence NJ 07974-1999 Ph: (917) 856-9529 |
| NPI Number | 1841037025 |
|---|---|
| Provider Enumeration Date | 07/13/2024 |
| Last Update Date | 07/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841037025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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