| Saint Vicent's Dental Center | |
|
116 Watchung Ave North Plainfield NJ 07060-4822 | |
| (908) 757-5244 | |
| Not Available |
| Full Name | Saint Vicent's Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 116 Watchung Ave, North Plainfield, New Jersey |
| Authorized Official Name and Position | Augusto Wong (OWNER) |
| Authorized Official Contact | 9087575244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Vicent's Dental Center 116 Watchung Ave North Plainfield NJ 07060-4822 Ph: (908) 757-5244 | Saint Vicent's Dental Center 116 Watchung Ave North Plainfield NJ 07060-4822 Ph: (908) 757-5244 |
| NPI Number | 1205233012 |
|---|---|
| Provider Enumeration Date | 11/21/2014 |
| Last Update Date | 11/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205233012 | NPI | - | NPPES |
| 8958700 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22DI02199800 (New Jersey) | Primary |
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