Vis-a-dent, L.l.c. | |
1033 Clifton Avenue Suite # 108 Clifton NJ 07013 | |
(201) 785-4146 | |
(201) 836-6054 |
Full Name | Vis-a-dent, L.l.c. |
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Speciality | Dentist - General Practice |
Location | 1033 Clifton Avenue, Clifton, New Jersey |
Authorized Official Name and Position | Deborah Nachman-mangot (MANAGER) |
Authorized Official Contact | 2017854146 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Vis-a-dent, L.l.c. 1033 Clifton Avenue Suite 108 Clifton NJ 07013 Ph: (201) 785-4146 | Vis-a-dent, L.l.c. 1033 Clifton Avenue Suite # 108 Clifton NJ 07013 Ph: (201) 785-4146 |
NPI Number | 1033353909 |
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Provider Enumeration Date | 04/23/2009 |
Last Update Date | 04/23/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033353909 | NPI | - | NPPES |
6432409 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 22DI01871000 (New Jersey) | Primary |
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