| Ridgewood Valley Dentistry Llc | |
|
385 S Maple Ave Ste 107 Glen Rock NJ 07452-1543 | |
| (201) 655-4122 | |
| Not Available |
| Full Name | Ridgewood Valley Dentistry Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 385 S Maple Ave Ste 107, Glen Rock, New Jersey |
| Authorized Official Name and Position | Nicholas A Avianto (OWNER/MEMBER) |
| Authorized Official Contact | 2016554122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ridgewood Valley Dentistry Llc 385 S Maple Ave Ste 107 Glen Rock NJ 07452-1543 Ph: (201) 655-4122 | Ridgewood Valley Dentistry Llc 385 S Maple Ave Ste 107 Glen Rock NJ 07452-1543 Ph: (201) 655-4122 |
| NPI Number | 1992534614 |
|---|---|
| Provider Enumeration Date | 07/31/2024 |
| Last Update Date | 07/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992534614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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