Paramus Dentist Llc | |
122 E Ridgewood Ave Paramus NJ 07652-4038 | |
(201) 345-3898 | |
(201) 345-3898 |
Full Name | Paramus Dentist Llc |
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Speciality | Dentist |
Location | 122 E Ridgewood Ave, Paramus, New Jersey |
Authorized Official Name and Position | David Hanna (PROVIDER) |
Authorized Official Contact | 5512001939 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Paramus Dentist Llc 122 E Ridgewood Ave Paramus NJ 07652-4038 Ph: (201) 345-3898 | Paramus Dentist Llc 122 E Ridgewood Ave Paramus NJ 07652-4038 Ph: (201) 345-3898 |
NPI Number | 1558067421 |
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Provider Enumeration Date | 02/02/2023 |
Last Update Date | 02/02/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558067421 | NPI | - | NPPES |
22DI02759600 | Other | NJ | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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