| First-class Dental Pc | |
|
596 Anderson Ave Suite 305 Cliffside Park NJ 07010-1831 | |
| (973) 479-3352 | |
| (908) 636-2565 |
| Full Name | First-class Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 596 Anderson Ave, Cliffside Park, New Jersey |
| Authorized Official Name and Position | Sergey Molton (PRESIDENT) |
| Authorized Official Contact | 9734793352 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| First-class Dental Pc 596 Anderson Ave Suite 305 Cliffside Park NJ 07010-1831 Ph: (973) 479-3352 | First-class Dental Pc 596 Anderson Ave Suite 305 Cliffside Park NJ 07010-1831 Ph: (973) 479-3352 |
| NPI Number | 1023328267 |
|---|---|
| Provider Enumeration Date | 10/20/2010 |
| Last Update Date | 08/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023328267 | NPI | - | NPPES |
| 22D102030400 | Other | NJ | NJ |
| 045359 | Other | NY | NY LICENCE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 045359 (New York) | Primary |
| 1223G0001X | Dentist - General Practice | 22D102030400 (New Jersey) | Secondary |
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