| Painlessdds Pc | |
|
1625 Anderson Ave Suite 202 Fort Lee NJ 07024-2748 | |
| (201) 224-9444 | |
| Not Available |
| Full Name | Painlessdds Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1625 Anderson Ave, Fort Lee, New Jersey |
| Authorized Official Name and Position | Julia Igdalev (OWNER) |
| Authorized Official Contact | 2012249444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Painlessdds Pc 1625 Anderson Ave Suite 202 Fort Lee NJ 07024-2748 Ph: (201) 224-9444 | Painlessdds Pc 1625 Anderson Ave Suite 202 Fort Lee NJ 07024-2748 Ph: (201) 224-9444 |
| NPI Number | 1942664297 |
|---|---|
| Provider Enumeration Date | 04/12/2016 |
| Last Update Date | 04/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942664297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 22DI02013400 (New Jersey) | Primary |
| 261QD0000X | Clinic/center - Dental | 22DI02604300 (New Jersey) | Secondary |
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