| Orange Dental Group | |
|
85 S Harrison St Suite 103 East Orange NJ 07018-1700 | |
| (973) 676-5310 | |
| (973) 676-5350 |
| Full Name | Orange Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 85 S Harrison St, East Orange, New Jersey |
| Authorized Official Name and Position | Salvatore Pavone (PRESIDENT) |
| Authorized Official Contact | 9736765310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orange Dental Group 85 S Harrison St Suite 103 East Orange NJ 07018-1700 Ph: (973) 676-5310 | Orange Dental Group 85 S Harrison St Suite 103 East Orange NJ 07018-1700 Ph: (973) 676-5310 |
| NPI Number | 1497909220 |
|---|---|
| Provider Enumeration Date | 11/06/2008 |
| Last Update Date | 11/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497909220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 23653 (New Jersey) | Primary |
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