| Modern Family Dentistry | |
|
551 Jersey Ave Ground Floor Jersey City NJ 07302-2788 | |
| (917) 561-7256 | |
| Not Available |
| Full Name | Modern Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 551 Jersey Ave, Jersey City, New Jersey |
| Authorized Official Name and Position | Jennifer Marin (MANAGER) |
| Authorized Official Contact | 9175617256 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Family Dentistry 551 Jersey Ave Ground Floor Jersey City NJ 07302-2788 Ph: () - | Modern Family Dentistry 551 Jersey Ave Ground Floor Jersey City NJ 07302-2788 Ph: (917) 561-7256 |
| NPI Number | 1184054645 |
|---|---|
| Provider Enumeration Date | 11/20/2013 |
| Last Update Date | 11/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184054645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22DI02454300 (New Jersey) | Primary |
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