| New Leaf Pediatric Dental Llc | |
|
2029 Lemoine Ave Ste 203 Fort Lee NJ 07024-5731 | |
| (201) 592-0758 | |
| Not Available |
| Full Name | New Leaf Pediatric Dental Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2029 Lemoine Ave Ste 203, Fort Lee, New Jersey |
| Authorized Official Name and Position | Cherish Im (OWNER) |
| Authorized Official Contact | 2015920758 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Leaf Pediatric Dental Llc 513 Roff Ave Unit B Palisades Park NJ 07650-1807 Ph: () - | New Leaf Pediatric Dental Llc 2029 Lemoine Ave Ste 203 Fort Lee NJ 07024-5731 Ph: (201) 592-0758 |
| NPI Number | 1649773524 |
|---|---|
| Provider Enumeration Date | 03/16/2018 |
| Last Update Date | 10/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649773524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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