| Lakewood Kids And Adolescent Dentistry | |
|
1776 Avenue Of The States Suite 105 Lakewood NJ 08701 | |
| (917) 613-1934 | |
| Not Available |
| Full Name | Lakewood Kids And Adolescent Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1776 Avenue Of The States, Lakewood, New Jersey |
| Authorized Official Name and Position | Nassi Figdor (OWNER) |
| Authorized Official Contact | 9176131934 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakewood Kids And Adolescent Dentistry 5510 17th Ave Brooklyn NY 11204-1814 Ph: () - | Lakewood Kids And Adolescent Dentistry 1776 Avenue Of The States Suite 105 Lakewood NJ 08701 Ph: (917) 613-1934 |
| NPI Number | 1912415597 |
|---|---|
| Provider Enumeration Date | 01/17/2018 |
| Last Update Date | 01/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912415597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (New Jersey) | Primary |
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