| Advanced Endodontics Alliance | |
|
170 Prospect Ave Ste 7 Hackensack NJ 07601-1834 | |
| (201) 343-8600 | |
| (201) 343-8650 |
| Full Name | Advanced Endodontics Alliance |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 170 Prospect Ave Ste 7, Hackensack, New Jersey |
| Authorized Official Name and Position | Maryia Rozenblum (OWNER) |
| Authorized Official Contact | 2013438600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Endodontics Alliance 170 Prospect Ave Ste 7 Hackensack NJ 07601-1834 Ph: (201) 343-8600 | Advanced Endodontics Alliance 170 Prospect Ave Ste 7 Hackensack NJ 07601-1834 Ph: (201) 343-8600 |
| NPI Number | 1710276365 |
|---|---|
| Provider Enumeration Date | 04/05/2011 |
| Last Update Date | 04/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710276365 | NPI | - | NPPES |
| 0173151 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 22DI02237100 (New Jersey) | Primary |
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