| Nihon Shika Group Mitsuwa | |
|
595 River Rd Mitsuwa Marketplace Edgewater NJ 07020-1104 | |
| (201) 945-3202 | |
| Not Available |
| Full Name | Nihon Shika Group Mitsuwa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 595 River Rd, Edgewater, New Jersey |
| Authorized Official Name and Position | Gregory Belok (OWNER) |
| Authorized Official Contact | 2019453202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nihon Shika Group Mitsuwa 595 River Rd Mitsuwa Marketplace Edgewater NJ 07020-1104 Ph: (201) 945-3202 | Nihon Shika Group Mitsuwa 595 River Rd Mitsuwa Marketplace Edgewater NJ 07020-1104 Ph: (201) 945-3202 |
| NPI Number | 1154442085 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154442085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 10635 (New Jersey) | Primary |
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