| Eastern Dental Of Elmwood Park, Llc | |
|
100 Broadway Elmwood Park NJ 07407-3025 | |
| (732) 750-0707 | |
| Not Available |
| Full Name | Eastern Dental Of Elmwood Park, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 100 Broadway, Elmwood Park, New Jersey |
| Authorized Official Name and Position | Alex Petrik (GENERAL COUNSEL) |
| Authorized Official Contact | 2487566738 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Dental Of Elmwood Park, Llc 510 Thornall St Ste 230 Edison NJ 08837-2204 Ph: () - | Eastern Dental Of Elmwood Park, Llc 100 Broadway Elmwood Park NJ 07407-3025 Ph: (732) 750-0707 |
| NPI Number | 1013833284 |
|---|---|
| Provider Enumeration Date | 06/24/2026 |
| Last Update Date | 06/24/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013833284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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