| J C Dental | |
|
272 Us Highway 46 Rockaway NJ 07866-3826 | |
| (973) 627-2121 | |
| (973) 627-2088 |
| Full Name | J C Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 272 Us Highway 46, Rockaway, New Jersey |
| Authorized Official Name and Position | Jorge O Cordova (OWNER) |
| Authorized Official Contact | 9736272121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J C Dental 272 Us Highway 46 Rockaway NJ 07866-3826 Ph: (973) 627-2121 | J C Dental 272 Us Highway 46 Rockaway NJ 07866-3826 Ph: (973) 627-2121 |
| NPI Number | 1063593358 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063593358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DI-19630 (New Jersey) | Primary |
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