| Kearny Orthodontics Llc | |
|
487 Kearny Ave Kearny NJ 07032-2734 | |
| (201) 991-1253 | |
| Not Available |
| Full Name | Kearny Orthodontics Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 487 Kearny Ave, Kearny, New Jersey |
| Authorized Official Name and Position | Robert Lorino (OWNER) |
| Authorized Official Contact | 9733421233 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kearny Orthodontics Llc 487 Kearny Ave Kearny NJ 07032-2734 Ph: (201) 991-1253 | Kearny Orthodontics Llc 487 Kearny Ave Kearny NJ 07032-2734 Ph: (201) 991-1253 |
| NPI Number | 1114415726 |
|---|---|
| Provider Enumeration Date | 04/30/2018 |
| Last Update Date | 04/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114415726 | NPI | - | NPPES |
| 0078131 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 22DI02152600 (New Jersey) | Primary |
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