| Loving Care Dental Llc | |
|
93 Home Pl 1 St Floor Lodi NJ 07644-1513 | |
| (973) 365-0189 | |
| (973) 365-0534 |
| Full Name | Loving Care Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 93 Home Pl, Lodi, New Jersey |
| Authorized Official Name and Position | Dmitry Kucher (OWNER) |
| Authorized Official Contact | 9734440909 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Loving Care Dental Llc 93 Home Pl 1 St Floor Lodi NJ 07644-1513 Ph: (973) 365-0189 | Loving Care Dental Llc 93 Home Pl 1 St Floor Lodi NJ 07644-1513 Ph: (973) 365-0189 |
| NPI Number | 1225313315 |
|---|---|
| Provider Enumeration Date | 10/20/2011 |
| Last Update Date | 10/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225313315 | NPI | - | NPPES |
| 7856300 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22DI02003000 (New Jersey) | Primary |
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