| Manville Dental Group Llc | |
|
7 Washington Ave Manville NJ 08835-1984 | |
| (908) 722-6500 | |
| (908) 722-7206 |
| Full Name | Manville Dental Group Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7 Washington Ave, Manville, New Jersey |
| Authorized Official Name and Position | John K Chen (MANAGING MEMBER) |
| Authorized Official Contact | 9087226500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manville Dental Group Llc 7 Washington Ave Manville NJ 08835-1984 Ph: (908) 722-6500 | Manville Dental Group Llc 7 Washington Ave Manville NJ 08835-1984 Ph: (908) 722-6500 |
| NPI Number | 1043481039 |
|---|---|
| Provider Enumeration Date | 03/18/2008 |
| Last Update Date | 03/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043481039 | NPI | - | NPPES |
| 0142395 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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