| New Jersey Center For Aesthetic And Restorative Dentistry, Llc | |
|
101 Old Short Hills Rd Suite 514 West Orange NJ 07052-1000 | |
| (973) 766-1532 | |
| (973) 766-1529 |
| Full Name | New Jersey Center For Aesthetic And Restorative Dentistry, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 101 Old Short Hills Rd, West Orange, New Jersey |
| Authorized Official Name and Position | Jared Eisen (OWNER) |
| Authorized Official Contact | 9737661532 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Jersey Center For Aesthetic And Restorative Dentistry, Llc 101 Old Short Hills Rd Suite 514 West Orange NJ 07052-1000 Ph: (973) 766-1532 | New Jersey Center For Aesthetic And Restorative Dentistry, Llc 101 Old Short Hills Rd Suite 514 West Orange NJ 07052-1000 Ph: (973) 766-1532 |
| NPI Number | 1871739961 |
|---|---|
| Provider Enumeration Date | 12/19/2008 |
| Last Update Date | 12/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871739961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 22DI02192000 (New Jersey) | Primary |
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