| Pa Dental Llc | |
|
17 Main St Ste 301 Robbinsville NJ 08691-1401 | |
| (732) 213-0036 | |
| Not Available |
| Full Name | Pa Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 17 Main St Ste 301, Robbinsville, New Jersey |
| Authorized Official Name and Position | Ricken Patel (OWNER) |
| Authorized Official Contact | 7322130036 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pa Dental Llc 1 Executive Dr Ste 103 Monmouth Junction NJ 08852-2446 Ph: (732) 422-8668 | Pa Dental Llc 17 Main St Ste 301 Robbinsville NJ 08691-1401 Ph: (732) 213-0036 |
| NPI Number | 1295249456 |
|---|---|
| Provider Enumeration Date | 11/27/2017 |
| Last Update Date | 11/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295249456 | NPI | - | NPPES |
| 1912280306 | Other | NJ | DENTAL OFFICE |
| 1396005203 | Other | NJ | DENTAL OFFICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Secondary |
| 122300000X | Dentist | (* (Not Available)) | Primary |
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