| Iacr Dental, Pc | |
|
439 60th St West New York NJ 07093-2211 | |
| (201) 865-5150 | |
| (201) 865-5962 |
| Full Name | Iacr Dental, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 439 60th St, West New York, New Jersey |
| Authorized Official Name and Position | Isela Ana Cantuarias (PRESIDENT) |
| Authorized Official Contact | 2018655150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iacr Dental, Pc 439 60th St West New York NJ 07093-2211 Ph: (201) 865-5150 | Iacr Dental, Pc 439 60th St West New York NJ 07093-2211 Ph: (201) 865-5150 |
| NPI Number | 1215310834 |
|---|---|
| Provider Enumeration Date | 06/30/2015 |
| Last Update Date | 06/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215310834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22DI02496500 (New Jersey) | Primary |
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