| Paulanto Dental Clinic Corp | |
|
189-195 Ave E Bayonne NJ 07002 | |
| (201) 471-3696 | |
| (201) 471-3697 |
| Full Name | Paulanto Dental Clinic Corp |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 189-195 Ave E, Bayonne, New Jersey |
| Authorized Official Name and Position | Paul Dimitrey (PRESIDENT) |
| Authorized Official Contact | 2014635144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paulanto Dental Clinic Corp 389 Broadway Bayonne NJ 07002-3629 Ph: (201) 339-4215 | Paulanto Dental Clinic Corp 189-195 Ave E Bayonne NJ 07002 Ph: (201) 471-3696 |
| NPI Number | 1134740707 |
|---|---|
| Provider Enumeration Date | 05/05/2020 |
| Last Update Date | 05/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134740707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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