| Midcounty Endodontic Group Pa | |
|
60 W Ridgewood Ave Ridgewood NJ 07450-3197 | |
| (201) 652-3311 | |
| (201) 652-1893 |
| Full Name | Midcounty Endodontic Group Pa |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 60 W Ridgewood Ave, Ridgewood, New Jersey |
| Authorized Official Name and Position | Young Jin Hahn (DMD) |
| Authorized Official Contact | 2016523311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midcounty Endodontic Group Pa 60 W Ridgewood Ave Ridgewood NJ 07450-3197 Ph: (201) 652-3311 | Midcounty Endodontic Group Pa 60 W Ridgewood Ave Ridgewood NJ 07450-3197 Ph: (201) 652-3311 |
| NPI Number | 1093831810 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 07/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093831810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | DI 17507 (New Jersey) | Primary |
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