| Joseph Basilicato Dmd Llc | |
|
191 Hamburg Tpke Suite 6 Pompton Lakes NJ 07442-2330 | |
| (973) 831-0109 | |
| (973) 831-6399 |
| Full Name | Joseph Basilicato Dmd Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 191 Hamburg Tpke, Pompton Lakes, New Jersey |
| Authorized Official Name and Position | Joseph A Basilicato (OWNER/DENTIST) |
| Authorized Official Contact | 9738310109 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Basilicato Dmd Llc 191 Hamburg Tpke Suite 6 Pompton Lakes NJ 07442-2330 Ph: (973) 831-0109 | Joseph Basilicato Dmd Llc 191 Hamburg Tpke Suite 6 Pompton Lakes NJ 07442-2330 Ph: (973) 831-0109 |
| NPI Number | 1346791084 |
|---|---|
| Provider Enumeration Date | 10/18/2016 |
| Last Update Date | 10/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346791084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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