| Roselle Commons Dental Center, Pc | |
|
711 E 1st Ave Ste 5 Roselle NJ 07203-1669 | |
| (908) 259-0505 | |
| (908) 259-9885 |
| Full Name | Roselle Commons Dental Center, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 711 E 1st Ave Ste 5, Roselle, New Jersey |
| Authorized Official Name and Position | Simon Shalman (OFFICE MANAGER) |
| Authorized Official Contact | 9082590505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roselle Commons Dental Center, Pc 711 E 1st Ave Ste 5 Roselle NJ 07203-1669 Ph: (908) 259-0505 | Roselle Commons Dental Center, Pc 711 E 1st Ave Ste 5 Roselle NJ 07203-1669 Ph: (908) 259-0505 |
| NPI Number | 1396914396 |
|---|---|
| Provider Enumeration Date | 02/22/2008 |
| Last Update Date | 02/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396914396 | NPI | - | NPPES |
| 7353103 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 22DI02001800 (New Jersey) | Primary |
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