| Watchung Avenue Dental Llc | |
|
445 Watchung Ave Watchung NJ 07069-4956 | |
| (908) 222-0007 | |
| Not Available |
| Full Name | Watchung Avenue Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 445 Watchung Ave, Watchung, New Jersey |
| Authorized Official Name and Position | Lori Liu (MEMBER-MANAGER) |
| Authorized Official Contact | 9082220007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Watchung Avenue Dental Llc 445 Watchung Ave Watchung NJ 07069-4956 Ph: (908) 222-0007 | Watchung Avenue Dental Llc 445 Watchung Ave Watchung NJ 07069-4956 Ph: (908) 222-0007 |
| NPI Number | 1699188417 |
|---|---|
| Provider Enumeration Date | 06/09/2014 |
| Last Update Date | 06/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699188417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22DI02414100 (New Jersey) | Primary |
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