| Pompton Lakes Family Dental Llc | |
|
518 Hamburg Tpke Pompton Lakes NJ 07442-1430 | |
| (845) 220-6815 | |
| Not Available |
| Full Name | Pompton Lakes Family Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 518 Hamburg Tpke, Pompton Lakes, New Jersey |
| Authorized Official Name and Position | Raquel Rodriguez (OWNER) |
| Authorized Official Contact | 8452206815 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pompton Lakes Family Dental Llc 903 Park Ave Apt 2 Hoboken NJ 07030-4204 Ph: (845) 220-6815 | Pompton Lakes Family Dental Llc 518 Hamburg Tpke Pompton Lakes NJ 07442-1430 Ph: (845) 220-6815 |
| NPI Number | 1003463308 |
|---|---|
| Provider Enumeration Date | 08/21/2019 |
| Last Update Date | 08/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003463308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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