| Family Care Dental Professional Association | |
|
340 West Passaic Street Rochelle Park NJ 07662-3018 | |
| (201) 845-7330 | |
| (201) 845-7339 |
| Full Name | Family Care Dental Professional Association |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 340 West Passaic Street, Rochelle Park, New Jersey |
| Authorized Official Name and Position | Henry Ellis (OFFICE MANAGER) |
| Authorized Official Contact | 2018457330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Dental Professional Association 340 West Passaic Street Rochelle Park NJ 07662-3018 Ph: (201) 845-7330 | Family Care Dental Professional Association 340 West Passaic Street Rochelle Park NJ 07662-3018 Ph: (201) 845-7330 |
| NPI Number | 1578728226 |
|---|---|
| Provider Enumeration Date | 07/22/2008 |
| Last Update Date | 07/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578728226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22DI02134100 (New Jersey) | Primary |
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