| Prohealth Riverside Dental, Llc | |
| 
					201 Route 17 Fl 12 Rutherford NJ 07070-2557  | |
| (516) 654-4400 | |
| Not Available | 
| Full Name | Prohealth Riverside Dental, Llc | 
|---|---|
| Speciality | Dentist | 
| Location | 201 Route 17 Fl 12, Rutherford, New Jersey | 
| Authorized Official Name and Position | Neil Karnofsky (OWNER) | 
| Authorized Official Contact | 5165315500 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Prohealth Riverside Dental, Llc 1 Pro Health Plz Ste 300 New Hyde Park NY 11042 Ph: () -  | Prohealth Riverside Dental, Llc 201 Route 17 Fl 12 Rutherford NJ 07070-2557 Ph: (516) 654-4400  | 
| NPI Number | 1336798909 | 
|---|---|
| Provider Enumeration Date | 09/06/2019 | 
| Last Update Date | 09/06/2019 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1336798909 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary | 
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