| Fanwood Dental Associates, Inc. | |
|
225 N Martine Ave Fanwood NJ 07023-1336 | |
| (732) 266-2911 | |
| Not Available |
| Full Name | Fanwood Dental Associates, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 225 N Martine Ave, Fanwood, New Jersey |
| Authorized Official Name and Position | Nima M. Patel (PRESIDENT) |
| Authorized Official Contact | 7322662911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fanwood Dental Associates, Inc. 85 Dellwood Rd Edison NJ 08820-3865 Ph: (732) 266-2911 | Fanwood Dental Associates, Inc. 225 N Martine Ave Fanwood NJ 07023-1336 Ph: (732) 266-2911 |
| NPI Number | 1730527961 |
|---|---|
| Provider Enumeration Date | 06/10/2013 |
| Last Update Date | 06/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730527961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22DI02245600 (New Jersey) | Primary |
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