| Jamie Diament-golub, Dmd Pc | |
|
2185 Lemoine Ave Fort Lee NJ 07024-6036 | |
| (201) 944-7636 | |
| Not Available |
| Full Name | Jamie Diament-golub, Dmd Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2185 Lemoine Ave, Fort Lee, New Jersey |
| Authorized Official Name and Position | Jamie Diament-golub (PRESIDENT/OWNER) |
| Authorized Official Contact | 2019447636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jamie Diament-golub, Dmd Pc 2185 Lemoine Ave Fort Lee NJ 07024-6036 Ph: (201) 944-7636 | Jamie Diament-golub, Dmd Pc 2185 Lemoine Ave Fort Lee NJ 07024-6036 Ph: (201) 944-7636 |
| NPI Number | 1831362854 |
|---|---|
| Provider Enumeration Date | 04/10/2008 |
| Last Update Date | 08/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831362854 | NPI | - | NPPES |
| 053459 | Other | NY | NY DENTAL LICENSE |
| 22DI01630800 | Other | NJ | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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