| Woodland Park Dentistry, Llc | |
|
279 Browertown Rd Ste 104 Woodland Park NJ 07424-2663 | |
| (973) 256-3366 | |
| Not Available |
| Full Name | Woodland Park Dentistry, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 279 Browertown Rd Ste 104, Woodland Park, New Jersey |
| Authorized Official Name and Position | Rimma Chernyakhovskaya Silva (MANAGING MEMBER) |
| Authorized Official Contact | 2014460232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodland Park Dentistry, Llc 12 Weston Ct Wayne NJ 07470-6548 Ph: (201) 446-0232 | Woodland Park Dentistry, Llc 279 Browertown Rd Ste 104 Woodland Park NJ 07424-2663 Ph: (973) 256-3366 |
| NPI Number | 1720585318 |
|---|---|
| Provider Enumeration Date | 04/10/2018 |
| Last Update Date | 04/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720585318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 22DI02504800 (New Jersey) | Primary |
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