| Jr Dental Llc | |
|
8 Baldwin Ave #2b Jersey City NJ 07304-3154 | |
| (201) 432-6000 | |
| (973) 669-0551 |
| Full Name | Jr Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8 Baldwin Ave, Jersey City, New Jersey |
| Authorized Official Name and Position | Lon J Rosen (SOLE MEMBER) |
| Authorized Official Contact | 2019605790 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jr Dental Llc 8 Baldwin Ave #2b Jersey City NJ 07304-3154 Ph: (201) 432-6000 | Jr Dental Llc 8 Baldwin Ave #2b Jersey City NJ 07304-3154 Ph: (201) 432-6000 |
| NPI Number | 1255642062 |
|---|---|
| Provider Enumeration Date | 06/25/2010 |
| Last Update Date | 06/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255642062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22DI01439000 (New Jersey) | Primary |
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