| Montclair Dental Spa | |
|
204 Claremont Ave Montclair NJ 07042-3409 | |
| (973) 744-1527 | |
| Not Available |
| Full Name | Montclair Dental Spa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 204 Claremont Ave, Montclair, New Jersey |
| Authorized Official Name and Position | Yousef Moussa (OWNER/DENTIST) |
| Authorized Official Contact | 9737441527 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Montclair Dental Spa 204 Claremont Ave Montclair NJ 07042-3409 Ph: () - | Montclair Dental Spa 204 Claremont Ave Montclair NJ 07042-3409 Ph: (973) 744-1527 |
| NPI Number | 1366008864 |
|---|---|
| Provider Enumeration Date | 05/10/2019 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366008864 | NPI | - | NPPES |
| 1588703052 | Other | NJ | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | (* (Not Available)) | Secondary |
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