| Nicole Padovan-lagrasta Dmd, Pa | |
|
105 E Union Ave Bound Brook NJ 08805-1766 | |
| (732) 469-4424 | |
| (732) 469-9138 |
| Full Name | Nicole Padovan-lagrasta Dmd, Pa |
|---|---|
| Speciality | Dentist |
| Location | 105 E Union Ave, Bound Brook, New Jersey |
| Authorized Official Name and Position | Nicole Padovan-lagrasta (PRESIDENT) |
| Authorized Official Contact | 7324694424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Padovan-lagrasta Dmd, Pa 105 E Union Ave Bound Brook NJ 08805-1766 Ph: (732) 469-4424 | Nicole Padovan-lagrasta Dmd, Pa 105 E Union Ave Bound Brook NJ 08805-1766 Ph: (732) 469-4424 |
| NPI Number | 1992982441 |
|---|---|
| Provider Enumeration Date | 01/28/2008 |
| Last Update Date | 01/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992982441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 124Q00000X | Dental Hygienist | (* (Not Available)) | Secondary |
| 126800000X | Dental Assistant | (* (Not Available)) | Secondary |
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