| Prospect Dental Care | |
|
145 Prospect St Ste 202 Ridgewood NJ 07450-4493 | |
| (201) 444-9011 | |
| (201) 857-4676 |
| Full Name | Prospect Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 145 Prospect St Ste 202, Ridgewood, New Jersey |
| Authorized Official Name and Position | John Makhoul (OWNER) |
| Authorized Official Contact | 2014449011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prospect Dental Care 145 Prospect St Ste 202 Ridgewood NJ 07450-4493 Ph: (201) 444-9011 | Prospect Dental Care 145 Prospect St Ste 202 Ridgewood NJ 07450-4493 Ph: (201) 444-9011 |
| NPI Number | 1750945473 |
|---|---|
| Provider Enumeration Date | 04/29/2019 |
| Last Update Date | 04/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750945473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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