Herbert Portnoff D.d.s. , P.a. | |
1656 Oak Tree Rd Edison NJ 08820-2805 | |
(732) 549-3773 | |
(732) 549-9241 |
Full Name | Herbert Portnoff D.d.s. , P.a. |
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Speciality | Dentist - Pediatric Dentistry |
Location | 1656 Oak Tree Rd, Edison, New Jersey |
Authorized Official Name and Position | Herbert H Portnoff (PRESIDENT) |
Authorized Official Contact | 7325493773 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Herbert Portnoff D.d.s. , P.a. 1656 Oak Tree Rd Edison NJ 08820-2805 Ph: (732) 549-3773 | Herbert Portnoff D.d.s. , P.a. 1656 Oak Tree Rd Edison NJ 08820-2805 Ph: (732) 549-3773 |
NPI Number | 1508919143 |
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Provider Enumeration Date | 01/18/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508919143 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 22D100712900 (New Jersey) | Primary |
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