The Tooth Dr Limited Liability Company | |
47 Kensington Ave Jersey City NJ 07304-2009 | |
(201) 434-1200 | |
(201) 434-1223 |
Full Name | The Tooth Dr Limited Liability Company |
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Speciality | Clinic/center - Dental |
Location | 47 Kensington Ave, Jersey City, New Jersey |
Authorized Official Name and Position | Medhat Dawoud (OWNER) |
Authorized Official Contact | 2014016594 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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The Tooth Dr Limited Liability Company 47 Kensington Ave Jersey City NJ 07304-2009 Ph: (201) 434-1200 | The Tooth Dr Limited Liability Company 47 Kensington Ave Jersey City NJ 07304-2009 Ph: (201) 434-1200 |
NPI Number | 1467722058 |
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Provider Enumeration Date | 01/12/2012 |
Last Update Date | 04/11/2012 |
Identifier | Type | State | Issuer |
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1467722058 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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