| First Mountain Dental Group P.c. | |
|
31 S Fullerton Ave Suite A Montclair NJ 07042-3455 | |
| (973) 746-7771 | |
| (973) 746-2177 |
| Full Name | First Mountain Dental Group P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 31 S Fullerton Ave, Montclair, New Jersey |
| Authorized Official Name and Position | Konstantine Trichas (PRESIDENT) |
| Authorized Official Contact | 9737467771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| First Mountain Dental Group P.c. 31 S Fullerton Ave Suite A Montclair NJ 07042-3455 Ph: (973) 746-7771 | First Mountain Dental Group P.c. 31 S Fullerton Ave Suite A Montclair NJ 07042-3455 Ph: (973) 746-7771 |
| NPI Number | 1477670206 |
|---|---|
| Provider Enumeration Date | 03/25/2007 |
| Last Update Date | 08/31/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477670206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22DI01960400 (New Jersey) | Primary |
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