| Parkside Dental Associates | |
|
1617 Parker Ave Fort Lee NJ 07024-6950 | |
| (201) 461-0130 | |
| (201) 461-8525 |
| Full Name | Parkside Dental Associates |
|---|---|
| Speciality | Dentist |
| Location | 1617 Parker Ave, Fort Lee, New Jersey |
| Authorized Official Name and Position | Elaine Sumire Otsuka (PRESIDENT) |
| Authorized Official Contact | 2014610130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkside Dental Associates 1617 Parker Ave Fort Lee NJ 07024-6950 Ph: (201) 461-0130 | Parkside Dental Associates 1617 Parker Ave Fort Lee NJ 07024-6950 Ph: (201) 461-0130 |
| NPI Number | 1083827257 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083827257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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