| Flda, Llc | |
|
25-15 Fair Lawn Ave Fair Lawn NJ 07410-3434 | |
| (201) 797-8464 | |
| Not Available |
| Full Name | Flda, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 25-15 Fair Lawn Ave, Fair Lawn, New Jersey |
| Authorized Official Name and Position | Arash Baseri (OWNER) |
| Authorized Official Contact | 2016746675 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Flda, Llc 43 Cornell Ave Berkeley Heights NJ 07922-1903 Ph: (201) 674-6675 | Flda, Llc 25-15 Fair Lawn Ave Fair Lawn NJ 07410-3434 Ph: (201) 797-8464 |
| NPI Number | 1609492990 |
|---|---|
| Provider Enumeration Date | 06/22/2020 |
| Last Update Date | 07/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609492990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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