| Primecare Dental | |
|
4 Hunter St Suite 2b Lodi NJ 07644-1608 | |
| (201) 403-8230 | |
| Not Available |
| Full Name | Primecare Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4 Hunter St, Lodi, New Jersey |
| Authorized Official Name and Position | Taehyung Moon (PRESIDENT) |
| Authorized Official Contact | 9739554928 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primecare Dental 4 Hunter St Suite 2b Lodi NJ 07644-1608 Ph: () - | Primecare Dental 4 Hunter St Suite 2b Lodi NJ 07644-1608 Ph: (201) 403-8230 |
| NPI Number | 1265896070 |
|---|---|
| Provider Enumeration Date | 04/07/2016 |
| Last Update Date | 11/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265896070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22DI02569100 (New Jersey) | Primary |
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