| Integrated Dental Aestetics | |
|
11 Kiel Ave Kinnelon NJ 07405-2549 | |
| (973) 838-4460 | |
| (973) 838-6258 |
| Full Name | Integrated Dental Aestetics |
|---|---|
| Speciality | Dentist |
| Location | 11 Kiel Ave, Kinnelon, New Jersey |
| Authorized Official Name and Position | Robert A Logan (DENTIST/OWNER) |
| Authorized Official Contact | 9738384460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Dental Aestetics 11 Kiel Ave Kinnelon NJ 07405-2549 Ph: (973) 838-4460 | Integrated Dental Aestetics 11 Kiel Ave Kinnelon NJ 07405-2549 Ph: (973) 838-4460 |
| NPI Number | 1275793085 |
|---|---|
| Provider Enumeration Date | 06/16/2008 |
| Last Update Date | 09/17/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275793085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 10617 (New Jersey) | Primary |
Kinnelon Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 Kiel Ave, Kinnelon, NJ 07405 Phone: 973-838-5585 Fax: 973-838-6258 |