| Premier Oral Sugery Group Pc | |
|
617 E Palisade Ave Englewood Cliffs NJ 07632-1831 | |
| (201) 567-7500 | |
| (201) 567-7505 |
| Full Name | Premier Oral Sugery Group Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Pathology |
| Location | 617 E Palisade Ave, Englewood Cliffs, New Jersey |
| Authorized Official Name and Position | John Kallis (OWNER) |
| Authorized Official Contact | 2015677500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Oral Sugery Group Pc 617 E Palisade Ave Englewood Cliffs NJ 07632-1831 Ph: (201) 567-7500 | Premier Oral Sugery Group Pc 617 E Palisade Ave Englewood Cliffs NJ 07632-1831 Ph: (201) 567-7500 |
| NPI Number | 1033449954 |
|---|---|
| Provider Enumeration Date | 12/29/2009 |
| Last Update Date | 12/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033449954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | DI15472 (New Jersey) | Primary |
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