| Pediatric Dentistry | |
|
777 Raritan Rd Clark NJ 07066-2206 | |
| (732) 815-1977 | |
| (732) 815-1985 |
| Full Name | Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 777 Raritan Rd, Clark, New Jersey |
| Authorized Official Name and Position | Janet M Drennan (OFFICE MANAGER) |
| Authorized Official Contact | 7928151977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry 777 Raritan Rd Clark NJ 07066-2206 Ph: (732) 818-1977 | Pediatric Dentistry 777 Raritan Rd Clark NJ 07066-2206 Ph: (732) 815-1977 |
| NPI Number | 1689077158 |
|---|---|
| Provider Enumeration Date | 09/29/2014 |
| Last Update Date | 09/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689077158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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