| Jonathan Dental Spa At The Center For Cosmetic & Implant Dentistry Llc | |
|
1111 Goffle Rd Hawthorne NJ 07506-2025 | |
| (973) 423-4460 | |
| Not Available |
| Full Name | Jonathan Dental Spa At The Center For Cosmetic & Implant Dentistry Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1111 Goffle Rd, Hawthorne, New Jersey |
| Authorized Official Name and Position | Jonathan Abenaim (OWNER) |
| Authorized Official Contact | 9734234460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Dental Spa At The Center For Cosmetic & Implant Dentistry Llc 1111 Goffle Rd Hawthorne NJ 07506-2025 Ph: () - | Jonathan Dental Spa At The Center For Cosmetic & Implant Dentistry Llc 1111 Goffle Rd Hawthorne NJ 07506-2025 Ph: (973) 423-4460 |
| NPI Number | 1295480663 |
|---|---|
| Provider Enumeration Date | 02/15/2022 |
| Last Update Date | 02/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295480663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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