| George Xenakis, Dds, Palisades Park, Llc | |
|
261a Broad Ave Palisades Park NJ 07650 | |
| (201) 676-3003 | |
| (201) 676-2613 |
| Full Name | George Xenakis, Dds, Palisades Park, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 261a Broad Ave, Palisades Park, New Jersey |
| Authorized Official Name and Position | George Xenakis (GENERAL MANAGER) |
| Authorized Official Contact | 2126430927 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| George Xenakis, Dds, Palisades Park, Llc 261a Broad Avenue Palisades Park NJ 07650 Ph: (201) 676-3003 | George Xenakis, Dds, Palisades Park, Llc 261a Broad Ave Palisades Park NJ 07650 Ph: (201) 676-3003 |
| NPI Number | 1366836520 |
|---|---|
| Provider Enumeration Date | 03/26/2015 |
| Last Update Date | 07/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366836520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 22DI01715600 (New Jersey) | Primary |
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