Essex Endodontics Pc | |
460 Bloomfield Ave Ste 311 Montclair NJ 07042-3552 | |
(973) 783-3535 | |
Not Available |
Full Name | Essex Endodontics Pc |
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Speciality | Dentist - Endodontics |
Location | 460 Bloomfield Ave Ste 311, Montclair, New Jersey |
Authorized Official Name and Position | Sudharani Bodepudi (PRESIDENT) |
Authorized Official Contact | 7327623214 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Essex Endodontics Pc 460 Bloomfield Ave Ste 311 Montclair NJ 07042-3552 Ph: (973) 783-3535 | Essex Endodontics Pc 460 Bloomfield Ave Ste 311 Montclair NJ 07042-3552 Ph: (973) 783-3535 |
NPI Number | 1235638347 |
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Provider Enumeration Date | 02/04/2018 |
Last Update Date | 02/04/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235638347 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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