| Nova Pediatric Dentistry | |
|
316 Knickerbocker Rd Dumont NJ 07628-1724 | |
| (201) 384-4500 | |
| Not Available |
| Full Name | Nova Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 316 Knickerbocker Rd, Dumont, New Jersey |
| Authorized Official Name and Position | Brian No (OWNER) |
| Authorized Official Contact | 9179027407 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nova Pediatric Dentistry 1172a 14th St Fort Lee NJ 07024-1658 Ph: (917) 902-7407 | Nova Pediatric Dentistry 316 Knickerbocker Rd Dumont NJ 07628-1724 Ph: (201) 384-4500 |
| NPI Number | 1205488780 |
|---|---|
| Provider Enumeration Date | 07/15/2019 |
| Last Update Date | 07/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205488780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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