| Park Dental Arts, Llc | |
|
560 Bergen Blvd Ridgefield NJ 07657 | |
| (201) 945-4477 | |
| (201) 945-5233 |
| Full Name | Park Dental Arts, Llc |
|---|---|
| Speciality | Dentist |
| Location | 560 Bergen Blvd, Ridgefield, New Jersey |
| Authorized Official Name and Position | Jeni Glavicic (CO-OWNER) |
| Authorized Official Contact | 2019454477 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Dental Arts, Llc 560 Bergen Blvd Ridgefield NJ 07657-2024 Ph: (201) 945-4477 | Park Dental Arts, Llc 560 Bergen Blvd Ridgefield NJ 07657 Ph: (201) 945-4477 |
| NPI Number | 1578000196 |
|---|---|
| Provider Enumeration Date | 01/20/2017 |
| Last Update Date | 01/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578000196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DI16680 (New Jersey) | Primary |
| 122300000X | Dentist | DI17286 (New Jersey) | Secondary |
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