Englewood Dentist Llc | |
115 Grand Ave Englewood NJ 07631-3654 | |
(201) 304-7077 | |
(201) 304-7077 |
Full Name | Englewood Dentist Llc |
---|---|
Speciality | Dentist |
Location | 115 Grand Ave, Englewood, New Jersey |
Authorized Official Name and Position | David Hanna (OWNER) |
Authorized Official Contact | 5512001939 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Englewood Dentist Llc 115 Grand Ave Englewood NJ 07631-3654 Ph: (201) 304-7077 | Englewood Dentist Llc 115 Grand Ave Englewood NJ 07631-3654 Ph: (201) 304-7077 |
NPI Number | 1447959044 |
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Provider Enumeration Date | 03/02/2023 |
Last Update Date | 03/02/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447959044 | NPI | - | NPPES |
22DI02759600 | Other | NJ | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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