| Hawthorne Family Dentistry | |
|
354 Lincoln Ave Hawthorne NJ 07506-1200 | |
| (973) 427-9299 | |
| (973) 427-9295 |
| Full Name | Hawthorne Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 354 Lincoln Ave, Hawthorne, New Jersey |
| Authorized Official Name and Position | Ritesh A Shah (PARTNER) |
| 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 | 1336394113 |
|---|---|
| Provider Enumeration Date | 11/20/2008 |
| Last Update Date | 11/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336394113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 02136800 (New Jersey) | Primary |
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