| Paramus Park Mall Dental LLC | |
|
700 Paramus Park Suite 1615 Paramus NJ 07652-3557 | |
| (201) 261-3444 | |
| (201) 261-3445 |
| Full Name | Paramus Park Mall Dental LLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 700 Paramus Park, Paramus, New Jersey |
| Authorized Official Name and Position | Igor Levin (DENTIST) |
| Authorized Official Contact | 5167983444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paramus Park Mall Dental LLC 700 Paramus Park Suite 1615 Paramus NJ 07652-3557 Ph: (201) 261-3444 | Paramus Park Mall Dental LLC 700 Paramus Park Suite 1615 Paramus NJ 07652-3557 Ph: (201) 261-3444 |
| NPI Number | 1164969325 |
|---|---|
| Provider Enumeration Date | 01/26/2017 |
| Last Update Date | 01/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164969325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22DI 02242900 (New Jersey) | Primary |
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