| M&n Dental Of Fort Lee | |
|
2500 Lemoine Ave Fl 4 Suite 401 Fort Lee NJ 07024-6232 | |
| (201) 585-0500 | |
| (201) 585-0522 |
| Full Name | M&n Dental Of Fort Lee |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2500 Lemoine Ave Fl 4, Fort Lee, New Jersey |
| Authorized Official Name and Position | Irina Kazbanov (PRESIDENT) |
| Authorized Official Contact | 2015850500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M&n Dental Of Fort Lee 2500 Lemoine Ave Fl 4 Suite 401 Fort Lee NJ 07024-6232 Ph: (201) 585-0500 | M&n Dental Of Fort Lee 2500 Lemoine Ave Fl 4 Suite 401 Fort Lee NJ 07024-6232 Ph: (201) 585-0500 |
| NPI Number | 1154769750 |
|---|---|
| Provider Enumeration Date | 06/05/2013 |
| Last Update Date | 06/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154769750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 22DI02479500 (New Jersey) | Primary |
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