| S Dental Clinic Llc | |
|
2044 Center Ave Ste 2 Fort Lee NJ 07024-4930 | |
| (201) 242-9700 | |
| Not Available |
| Full Name | S Dental Clinic Llc |
|---|---|
| Speciality | Dentist |
| Location | 2044 Center Ave Ste 2, Fort Lee, New Jersey |
| Authorized Official Name and Position | Justin I Chung (DENTIST) |
| Authorized Official Contact | 2012429700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| S Dental Clinic Llc 2044 Center Ave Ste 2 Fort Lee NJ 07024-4930 Ph: (201) 242-9700 | S Dental Clinic Llc 2044 Center Ave Ste 2 Fort Lee NJ 07024-4930 Ph: (201) 242-9700 |
| NPI Number | 1437516853 |
|---|---|
| Provider Enumeration Date | 01/16/2016 |
| Last Update Date | 01/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437516853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22DI02480100 (New Jersey) | Primary |
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