| Park Avenue Dental Of Nj | |
|
155 Park Ave Suite 207 Lyndhurst NJ 07071-1462 | |
| (201) 507-5000 | |
| (201) 507-5141 |
| Full Name | Park Avenue Dental Of Nj |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 155 Park Ave, Lyndhurst, New Jersey |
| Authorized Official Name and Position | Kirk A Kalogiannis (PRESIDENT/DENTIST) |
| Authorized Official Contact | 2015075000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Avenue Dental Of Nj 155 Park Ave Suite 207 Lyndhurst NJ 07071-1462 Ph: (201) 507-5000 | Park Avenue Dental Of Nj 155 Park Ave Suite 207 Lyndhurst NJ 07071-1462 Ph: (201) 507-5000 |
| NPI Number | 1932119211 |
|---|---|
| Provider Enumeration Date | 08/09/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932119211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DI-18230 (New Jersey) | Primary |
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