| Joan Van Raalte D.m.d.,pc | |
|
200 Lafayette Ave Hawthorne NJ 07506-1943 | |
| (973) 746-5532 | |
| (413) 677-0904 |
| Full Name | Joan Van Raalte D.m.d.,pc |
|---|---|
| Speciality | Dentist |
| Location | 200 Lafayette Ave, Hawthorne, New Jersey |
| Authorized Official Name and Position | Joan Van Raalte (OWNER) |
| Authorized Official Contact | 9737465532 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joan Van Raalte D.m.d.,pc 41 Watchung Plz #185 Montclair NJ 07042-4117 Ph: (973) 746-5532 | Joan Van Raalte D.m.d.,pc 200 Lafayette Ave Hawthorne NJ 07506-1943 Ph: (973) 746-5532 |
| NPI Number | 1538362215 |
|---|---|
| Provider Enumeration Date | 06/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538362215 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22DI01926304 (New Jersey) | Primary |
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