| Irvington Family Dental Llc | |
|
855 Springfield Ave Irvington NJ 07111-3611 | |
| (973) 373-3456 | |
| Not Available |
| Full Name | Irvington Family Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 855 Springfield Ave, Irvington, New Jersey |
| Authorized Official Name and Position | Lon J Rosen (OWNER) |
| Authorized Official Contact | 9733733456 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Irvington Family Dental Llc 855 Springfield Ave Irvington NJ 07111-3611 Ph: (973) 373-3456 | Irvington Family Dental Llc 855 Springfield Ave Irvington NJ 07111-3611 Ph: (973) 373-3456 |
| NPI Number | 1932215969 |
|---|---|
| Provider Enumeration Date | 08/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932215969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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