| Township Of West Orange Dental Clinic | |
|
66 Main St West Orange NJ 07052-5404 | |
| (973) 325-4135 | |
| (973) 325-4005 |
| Full Name | Township Of West Orange Dental Clinic |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 66 Main St, West Orange, New Jersey |
| Authorized Official Name and Position | Joseph A. Fonzino (DIRECTOR OF HEALTH & WELFARE) |
| Authorized Official Contact | 9733254124 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Township Of West Orange Dental Clinic 66 Main St West Orange NJ 07052-5404 Ph: (973) 325-4135 | Township Of West Orange Dental Clinic 66 Main St West Orange NJ 07052-5404 Ph: (973) 325-4135 |
| NPI Number | 1013130574 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013130574 | NPI | - | NPPES |
| 0021008 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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