| Santillana Family Dentistry L.l.c. | |
|
120 Lexington Ave Passaic NJ 07055-5260 | |
| (973) 859-0501 | |
| (973) 859-0503 |
| Full Name | Santillana Family Dentistry L.l.c. |
|---|---|
| Speciality | Dentist |
| Location | 120 Lexington Ave, Passaic, New Jersey |
| Authorized Official Name and Position | Monica Rollins (OFFICE MANAGER) |
| Authorized Official Contact | 9738590501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Santillana Family Dentistry L.l.c. 120 Lexington Ave Passaic NJ 07055-5260 Ph: (973) 859-0501 | Santillana Family Dentistry L.l.c. 120 Lexington Ave Passaic NJ 07055-5260 Ph: (973) 859-0501 |
| NPI Number | 1225361496 |
|---|---|
| Provider Enumeration Date | 09/04/2009 |
| Last Update Date | 04/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225361496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22DI02388500 (New Jersey) | Primary |
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