| Hollywood Dentistry L.l.c | |
|
23 Branford Place Newark NJ 07102 | |
| (973) 424-0040 | |
| (973) 424-0089 |
| Full Name | Hollywood Dentistry L.l.c |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 23 Branford Place, Newark, New Jersey |
| Authorized Official Name and Position | John Young Keh (GENERAL DENTIST) |
| Authorized Official Contact | 9734240040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hollywood Dentistry L.l.c 23 Branford Place Newark NJ 07102 Ph: (973) 424-0040 | Hollywood Dentistry L.l.c 23 Branford Place Newark NJ 07102 Ph: (973) 424-0040 |
| NPI Number | 1124370374 |
|---|---|
| Provider Enumeration Date | 10/12/2012 |
| Last Update Date | 10/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124370374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22DI02140100 (New Jersey) | Primary |
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