| Ele-dent Pediatric Dentistry Ii, Llc | |
|
505 Stillwells Corner Rd Unit C-1 Freehold NJ 07728-2965 | |
| (732) 780-3300 | |
| Not Available |
| Full Name | Ele-dent Pediatric Dentistry Ii, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 505 Stillwells Corner Rd, Freehold, New Jersey |
| Authorized Official Name and Position | Milan M Patel (MEMBER) |
| Authorized Official Contact | 6093735767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ele-dent Pediatric Dentistry Ii, Llc 5 Lenape Ct Cranbury NJ 08512-2613 Ph: () - | Ele-dent Pediatric Dentistry Ii, Llc 505 Stillwells Corner Rd Unit C-1 Freehold NJ 07728-2965 Ph: (732) 780-3300 |
| NPI Number | 1578015467 |
|---|---|
| Provider Enumeration Date | 10/26/2016 |
| Last Update Date | 10/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578015467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DI02544800 (New Jersey) | Primary |
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