Quantum Dental Group Llc | |
421 59th St West New York NJ 07093-2107 | |
(201) 254-0322 | |
(201) 254-0326 |
Full Name | Quantum Dental Group Llc |
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Speciality | Dentist - General Practice |
Location | 421 59th St, West New York, New Jersey |
Authorized Official Name and Position | Leon Greenberg (PRESIDENT) |
Authorized Official Contact | 2012540322 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Quantum Dental Group Llc 421 59th St West New York NJ 07093-2107 Ph: (201) 254-0322 | Quantum Dental Group Llc 421 59th St West New York NJ 07093-2107 Ph: (201) 254-0322 |
NPI Number | 1891169470 |
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Provider Enumeration Date | 11/19/2015 |
Last Update Date | 11/19/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891169470 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 22DI02125200 (New Jersey) | Primary |
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