| West Broadway Dental Pa | |
|
1 West Broadway Paterson NJ 07505 | |
| (973) 684-3803 | |
| (973) 742-8223 |
| Full Name | West Broadway Dental Pa |
|---|---|
| Speciality | Dentist |
| Location | 1 West Broadway, Paterson, New Jersey |
| Authorized Official Name and Position | Stephen Sherman (OWNER PRESIDENT) |
| Authorized Official Contact | 9736843803 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Broadway Dental Pa 1 West Broadway Paterson NJ 07505 Ph: (973) 684-3803 | West Broadway Dental Pa 1 West Broadway Paterson NJ 07505 Ph: (973) 684-3803 |
| NPI Number | 1801929591 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 02/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801929591 | NPI | - | NPPES |
| 8378100 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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