| Supreme Dental Associates, Llc | |
|
331 Valley Rd West Orange NJ 07052-5302 | |
| (973) 325-9800 | |
| (973) 325-9877 |
| Full Name | Supreme Dental Associates, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 331 Valley Rd, West Orange, New Jersey |
| Authorized Official Name and Position | Bedes Osuala (OWNER ADMINISTRATOR) |
| Authorized Official Contact | 9733259800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Supreme Dental Associates, Llc 331 Valley Rd West Orange NJ 07052-5302 Ph: (973) 325-9800 | Supreme Dental Associates, Llc 331 Valley Rd West Orange NJ 07052-5302 Ph: (973) 325-9800 |
| NPI Number | 1386795409 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386795409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22DI02143500 (New Jersey) | Primary |
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