| New Jersey Laser Dentistry | |
|
751 Teaneck Rd C/0 Dr Jacobson 3rd Floor Teaneck NJ 07666-4242 | |
| (201) 837-1612 | |
| (201) 837-8651 |
| Full Name | New Jersey Laser Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 751 Teaneck Rd, Teaneck, New Jersey |
| Authorized Official Name and Position | Barry Laurence Jacobson (OWNER) |
| Authorized Official Contact | 2018371612 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Jersey Laser Dentistry 751 Teaneck Rd Teaneck NJ 07666-4242 Ph: (201) 837-1612 | New Jersey Laser Dentistry 751 Teaneck Rd C/0 Dr Jacobson 3rd Floor Teaneck NJ 07666-4242 Ph: (201) 837-1612 |
| NPI Number | 1033395934 |
|---|---|
| Provider Enumeration Date | 01/10/2008 |
| Last Update Date | 01/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033395934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DI19069 (New Jersey) | Primary |
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