| Ridgewood Dental Group Llc | |
|
75 Chestnut St Ridgewood NJ 07450-2501 | |
| (201) 445-4808 | |
| (201) 445-2040 |
| Full Name | Ridgewood Dental Group Llc |
|---|---|
| Speciality | Dentist |
| Location | 75 Chestnut St, Ridgewood, New Jersey |
| Authorized Official Name and Position | Warren Boardman (DENTIST) |
| Authorized Official Contact | 2014451060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ridgewood Dental Group Llc 75 Chestnut St Ridgewood NJ 07450-2501 Ph: (201) 445-4808 | Ridgewood Dental Group Llc 75 Chestnut St Ridgewood NJ 07450-2501 Ph: (201) 445-4808 |
| NPI Number | 1992981062 |
|---|---|
| Provider Enumeration Date | 01/18/2008 |
| Last Update Date | 10/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992981062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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