| St Dental | |
|
596 Anderson Ave Suite 305 Cliffside Park NJ 07010-1831 | |
| (973) 479-3352 | |
| Not Available |
| Full Name | St Dental |
|---|---|
| Speciality | Dentist |
| Location | 596 Anderson Ave, Cliffside Park, New Jersey |
| Authorized Official Name and Position | Lana Maryash (OFFICE MGR) |
| Authorized Official Contact | 9734793352 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Dental 596 Anderson Ave Suite 305 Cliffside Park NJ 07010-1831 Ph: (973) 479-3352 | St Dental 596 Anderson Ave Suite 305 Cliffside Park NJ 07010-1831 Ph: (973) 479-3352 |
| NPI Number | 1073779047 |
|---|---|
| Provider Enumeration Date | 07/30/2008 |
| Last Update Date | 07/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073779047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22DI02030400 (New Jersey) | Primary |
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