| Elizabeth Dental 77 Pc | |
|
230 W Jersey Street Suite L 6 Elizabeth NJ 07202-1380 | |
| (908) 352-2313 | |
| Not Available |
| Full Name | Elizabeth Dental 77 Pc |
|---|---|
| Speciality | Dentist |
| Location | 230 W Jersey Street, Elizabeth, New Jersey |
| Authorized Official Name and Position | Rafael D Rodriguez (PRESIDENT) |
| Authorized Official Contact | 9083522313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Dental 77 Pc 230 W Jersey Street Suite L 6 Elizabeth NJ 07202-1380 Ph: (908) 352-2313 | Elizabeth Dental 77 Pc 230 W Jersey Street Suite L 6 Elizabeth NJ 07202-1380 Ph: (908) 352-2313 |
| NPI Number | 1427738848 |
|---|---|
| Provider Enumeration Date | 07/20/2023 |
| Last Update Date | 07/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427738848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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