| Lena Khaylomsky Dmd | |
|
4100 Park Ave Weehawken NJ 07086 | |
| (201) 348-1616 | |
| (201) 348-4877 |
| Full Name | Lena Khaylomsky Dmd |
|---|---|
| Speciality | Dentist |
| Location | 4100 Park Ave, Weehawken, New Jersey |
| Authorized Official Name and Position | Lena Khaylomsky (OWNER) |
| Authorized Official Contact | 2013481616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lena Khaylomsky Dmd 4100 Park Ave Weehawken NJ 07086 Ph: (201) 348-1616 | Lena Khaylomsky Dmd 4100 Park Ave Weehawken NJ 07086 Ph: (201) 348-1616 |
| NPI Number | 1487635967 |
|---|---|
| Provider Enumeration Date | 11/10/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487635967 | NPI | - | NPPES |
| 0038792 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 22424 (New Jersey) | Primary |
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