| Pediatric Dentistry And Orthodontics Center Llc | |
|
6 Prospect St Ste 1a Midland Park NJ 07432-1606 | |
| (201) 445-5555 | |
| (201) 445-5057 |
| Full Name | Pediatric Dentistry And Orthodontics Center Llc |
|---|---|
| Speciality | Dentist |
| Location | 6 Prospect St Ste 1a, Midland Park, New Jersey |
| Authorized Official Name and Position | Mike Cole (VP INSURANCE PLAN MANAGEMENT) |
| Authorized Official Contact | 9419553150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry And Orthodontics Center Llc 6 Prospect St Ste 1a Midland Park NJ 07432-1606 Ph: (201) 445-5555 | Pediatric Dentistry And Orthodontics Center Llc 6 Prospect St Ste 1a Midland Park NJ 07432-1606 Ph: (201) 445-5555 |
| NPI Number | 1255995502 |
|---|---|
| Provider Enumeration Date | 04/23/2019 |
| Last Update Date | 04/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255995502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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Pediatric Dentistry Of Midland Park Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Prospect St, Suite 1a, Midland Park, NJ 07432 Phone: 201-445-5555 Fax: 201-445-5057 | |
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