| Aesthetic Dental Care, Llc | |
|
389 Passaic Ave Fairfield NJ 07004-2017 | |
| (973) 227-8998 | |
| (201) 837-7956 |
| Full Name | Aesthetic Dental Care, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 389 Passaic Ave, Fairfield, New Jersey |
| Authorized Official Name and Position | Jerry M Strauss (OWNER-SOLE PROPRIETOR/ DENTIST) |
| Authorized Official Contact | 9732278998 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aesthetic Dental Care, Llc 287 Rutland Ave Teaneck NJ 07666-2843 Ph: (973) 227-8998 | Aesthetic Dental Care, Llc 389 Passaic Ave Fairfield NJ 07004-2017 Ph: (973) 227-8998 |
| NPI Number | 1760658751 |
|---|---|
| Provider Enumeration Date | 04/30/2008 |
| Last Update Date | 08/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760658751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DI 021040 (New Jersey) | Primary |
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