| Senior Care Dental | |
|
345 Passaic Ave 1st Fl Lodi NJ 07644 | |
| (973) 446-0620 | |
| (973) 446-0620 |
| Full Name | Senior Care Dental |
|---|---|
| Speciality | Dentist |
| Location | 345 Passaic Ave, Lodi, New Jersey |
| Authorized Official Name and Position | Annette Santiago (SUPERVISOR BILLER) |
| Authorized Official Contact | 9734460620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Senior Care Dental 93 Home Place 1st Fl Lodi NJ 07644 Ph: (973) 446-0620 | Senior Care Dental 345 Passaic Ave 1st Fl Lodi NJ 07644 Ph: (973) 446-0620 |
| NPI Number | 1356413777 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356413777 | NPI | - | NPPES |
| 0014931 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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