| Irie Dental Spa | |
|
15 Freeman Ave East Orange NJ 07018-3429 | |
| (973) 673-4743 | |
| (973) 453-8146 |
| Full Name | Irie Dental Spa |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 15 Freeman Ave, East Orange, New Jersey |
| Authorized Official Name and Position | Ruth Elaine Parkin-edwin (DENTIST) |
| Authorized Official Contact | 9736734743 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Irie Dental Spa 15 Freeman Ave East Orange NJ 07018-3429 Ph: (973) 673-4743 | Irie Dental Spa 15 Freeman Ave East Orange NJ 07018-3429 Ph: (973) 673-4743 |
| NPI Number | 1942819644 |
|---|---|
| Provider Enumeration Date | 07/28/2020 |
| Last Update Date | 02/01/2023 |
| Medicare PECOS PAC ID | 3577914985 |
|---|---|
| Medicare Enrollment ID | O20240110003194 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942819644 | NPI | - | NPPES |
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