| The Stenvall, Ghattas, Elessawi Group | |
|
961 Sanford Ave Irvington NJ 07111-1421 | |
| (973) 372-2330 | |
| Not Available |
| Full Name | The Stenvall, Ghattas, Elessawi Group |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 961 Sanford Ave, Irvington, New Jersey |
| Authorized Official Name and Position | Warren Stenvall (PRES) |
| Authorized Official Contact | 9733722330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Stenvall, Ghattas, Elessawi Group 961 Sanford Ave Irvington NJ 07111-1421 Ph: () - | The Stenvall, Ghattas, Elessawi Group 961 Sanford Ave Irvington NJ 07111-1421 Ph: (973) 372-2330 |
| NPI Number | 1013184845 |
|---|---|
| Provider Enumeration Date | 05/12/2008 |
| Last Update Date | 05/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013184845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 10861 (New Jersey) | Primary |
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The Stenvall Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 961 Sanford Ave, Irvington, NJ 07111 Phone: 973-372-2330 Fax: 908-832-6522 |