Kells Dental | |
116 39th St Apt 4 Union City NJ 07087-6139 | |
(917) 572-3637 | |
Not Available |
Full Name | Kells Dental |
---|---|
Speciality | Dentist |
Location | 116 39th St Apt 4, Union City, New Jersey |
Authorized Official Name and Position | Patricia Izquierdo (OWNER) |
Authorized Official Contact | 9175723637 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Kells Dental 2807 Jackson Ave Long Island City NY 11101-3458 Ph: () - | Kells Dental 116 39th St Apt 4 Union City NJ 07087-6139 Ph: (917) 572-3637 |
NPI Number | 1780392217 |
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Provider Enumeration Date | 11/14/2022 |
Last Update Date | 11/14/2022 |
Medicare PECOS PAC ID | 8224403985 |
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Medicare Enrollment ID | O20230411001185 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780392217 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Provider Name | Patricia M Izquierdo |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1972947349 PECOS PAC ID: 3577935212 Enrollment ID: I20230411001253 |
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