| Nu Dental Pc | |
|
76 Pond St Staten Island NY 10309-1797 | |
| (718) 568-0405 | |
| Not Available |
| Full Name | Nu Dental Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 76 Pond St, Staten Island, New York |
| Authorized Official Name and Position | Admasu N Gizahew (OWNER/DIRECTOR) |
| Authorized Official Contact | 7185680405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nu Dental Pc 16 Riverside Ln Holmdel NJ 07733-2084 Ph: () - | Nu Dental Pc 76 Pond St Staten Island NY 10309-1797 Ph: (718) 568-0405 |
| NPI Number | 1245871029 |
|---|---|
| Provider Enumeration Date | 10/03/2019 |
| Last Update Date | 10/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245871029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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