| Center For Family Dentistry | |
|
1187 Clinton Ave Irvington NJ 07111 | |
| (973) 375-0400 | |
| Not Available |
| Full Name | Center For Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1187 Clinton Ave, Irvington, New Jersey |
| Authorized Official Name and Position | Fariba Sharifan (DMD) |
| Authorized Official Contact | 9733750400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Family Dentistry 1187 Clinton Ave Irvington NJ 07111 Ph: () - | Center For Family Dentistry 1187 Clinton Ave Irvington NJ 07111 Ph: (973) 375-0400 |
| NPI Number | 1154574465 |
|---|---|
| Provider Enumeration Date | 10/30/2008 |
| Last Update Date | 11/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154574465 | NPI | - | NPPES |
| 60025186 | Other | NJ | HORIZON NJ HEALTH |
| 0110221-01 | Medicaid | NJ | |
| 000000299601 | Other | NJ | AMERICHOICE |
| 011070 | Other | NJ | DORAL DENTAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DI020295 (New Jersey) | Primary |
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