| Grove Family Dental Inc | |
|
129 Grove Street Montclair NJ 07042 | |
| (973) 509-0400 | |
| (973) 509-0477 |
| Full Name | Grove Family Dental Inc |
|---|---|
| Speciality | Dentist |
| Location | 129 Grove Street, Montclair, New Jersey |
| Authorized Official Name and Position | Ritu Sethi (PRESIDENT) |
| Authorized Official Contact | 9735090400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grove Family Dental Inc 129 Grove Street Grove Family Dental Montclair NJ 07042 Ph: (973) 509-0400 | Grove Family Dental Inc 129 Grove Street Montclair NJ 07042 Ph: (973) 509-0400 |
| NPI Number | 1417336074 |
|---|---|
| Provider Enumeration Date | 05/28/2015 |
| Last Update Date | 05/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417336074 | NPI | - | NPPES |
| 0218316 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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