| Implant & Dental Center Of Nj Pc | |
|
6815 Bergenline Ave Guttenberg NJ 07093-1807 | |
| (201) 868-0808 | |
| Not Available |
| Full Name | Implant & Dental Center Of Nj Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6815 Bergenline Ave, Guttenberg, New Jersey |
| Authorized Official Name and Position | David Lac (OWNER) |
| Authorized Official Contact | 2018680808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Implant & Dental Center Of Nj Pc 18 Kearny Ave Kearny NJ 07032-2372 Ph: (201) 868-0808 | Implant & Dental Center Of Nj Pc 6815 Bergenline Ave Guttenberg NJ 07093-1807 Ph: (201) 868-0808 |
| NPI Number | 1235540667 |
|---|---|
| Provider Enumeration Date | 05/20/2014 |
| Last Update Date | 05/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235540667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 02028800 (New Jersey) | Primary |
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