| Wall Street Dental Inc | |
|
13 Wall St Raritan NJ 08869-1852 | |
| (908) 725-3451 | |
| Not Available |
| Full Name | Wall Street Dental Inc |
|---|---|
| Speciality | Dentist |
| Location | 13 Wall St, Raritan, New Jersey |
| Authorized Official Name and Position | Loay Shadid (OWNER) |
| Authorized Official Contact | 9087253451 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wall Street Dental Inc 13 Wall St Raritan NJ 08869-1852 Ph: (908) 725-3451 | Wall Street Dental Inc 13 Wall St Raritan NJ 08869-1852 Ph: (908) 725-3451 |
| NPI Number | 1013459130 |
|---|---|
| Provider Enumeration Date | 11/07/2016 |
| Last Update Date | 11/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013459130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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