| Masella Family Dental, Pc | |
|
195 Fairfield Ave Suite 3a West Caldwell NJ 07006-6424 | |
| (973) 226-3242 | |
| (973) 228-6169 |
| Full Name | Masella Family Dental, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 195 Fairfield Ave, West Caldwell, New Jersey |
| Authorized Official Name and Position | Michael James Masella (OWNER) |
| Authorized Official Contact | 9732263242 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Masella Family Dental, Pc 195 Fairfield Ave Suite 3a West Caldwell NJ 07006-6424 Ph: (973) 226-3242 | Masella Family Dental, Pc 195 Fairfield Ave Suite 3a West Caldwell NJ 07006-6424 Ph: (973) 226-3242 |
| NPI Number | 1043685324 |
|---|---|
| Provider Enumeration Date | 12/11/2015 |
| Last Update Date | 12/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043685324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 22DI02287800 (New Jersey) | Primary |
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