| New Dental Image Asso.corp | |
|
9238 Kennedy Blvd North Bergen NJ 07047-5312 | |
| (201) 295-1706 | |
| (201) 295-9507 |
| Full Name | New Dental Image Asso.corp |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9238 Kennedy Blvd, North Bergen, New Jersey |
| Authorized Official Name and Position | Rodolfo P Wert (DENTIST) |
| Authorized Official Contact | 2012951706 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Dental Image Asso.corp 9238 Kennedy Blvd North Bergen NJ 07047-5312 Ph: (201) 295-1706 | New Dental Image Asso.corp 9238 Kennedy Blvd North Bergen NJ 07047-5312 Ph: (201) 295-1706 |
| NPI Number | 1760524078 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760524078 | NPI | - | NPPES |
| 0086185 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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