| Kennedy Dental Center Pa | |
|
3196 Kennedy Blvd 3rd Floor Union City NJ 07087-2436 | |
| (201) 330-8400 | |
| (201) 330-0173 |
| Full Name | Kennedy Dental Center Pa |
|---|---|
| Speciality | Dentist |
| Location | 3196 Kennedy Blvd, Union City, New Jersey |
| Authorized Official Name and Position | Naynesh Savalia (OWNER PRESIDENT) |
| Authorized Official Contact | 2013308400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kennedy Dental Center Pa 3196 Kennedy Blvd 3rd Floor Union City NJ 07087-2436 Ph: (201) 330-8400 | Kennedy Dental Center Pa 3196 Kennedy Blvd 3rd Floor Union City NJ 07087-2436 Ph: (201) 330-8400 |
| NPI Number | 1063402683 |
|---|---|
| Provider Enumeration Date | 10/25/2005 |
| Last Update Date | 01/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063402683 | NPI | - | NPPES |
| 8800502 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DI020821 (New Jersey) | Primary |
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