| Derkasch Dental Health Associates Pa | |
|
409 Boulevard Kenilworth NJ 07033-1538 | |
| (908) 276-2225 | |
| (908) 276-1550 |
| Full Name | Derkasch Dental Health Associates Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 409 Boulevard, Kenilworth, New Jersey |
| Authorized Official Name and Position | William J Derkasch (PRESIDENT/) |
| Authorized Official Contact | 9082762225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Derkasch Dental Health Associates Pa 409 Boulevard Kenilworth NJ 07033-1538 Ph: (908) 276-2225 | Derkasch Dental Health Associates Pa 409 Boulevard Kenilworth NJ 07033-1538 Ph: (908) 276-2225 |
| NPI Number | 1881874063 |
|---|---|
| Provider Enumeration Date | 11/06/2007 |
| Last Update Date | 11/06/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881874063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22DI01560000 (New Jersey) | Primary |
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William J Derkasch Cyrus G Dehkan Ptrs Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 409 Boulevard, Kenilworth, NJ 07033 Phone: 908-276-2225 Fax: 908-276-1550 |