| Hawthorne Family Dentistry | |
|
354 Lincoln Ave Hawthorne NJ 07506-1200 | |
| (973) 427-9299 | |
| Not Available |
| Full Name | Hawthorne Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 354 Lincoln Ave, Hawthorne, New Jersey |
| Authorized Official Name and Position | Mitesh R Patel (OWNER) |
| Authorized Official Contact | 9734279299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hawthorne Family Dentistry 354 Lincoln Ave Hawthorne NJ 07506-1200 Ph: (973) 427-9299 | Hawthorne Family Dentistry 354 Lincoln Ave Hawthorne NJ 07506-1200 Ph: (973) 427-9299 |
| NPI Number | 1174024442 |
|---|---|
| Provider Enumeration Date | 02/22/2018 |
| Last Update Date | 02/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174024442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DI20132 (New Jersey) | Primary |
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