| Stonegate Dental Llc | |
|
101 Old Short Hills Rd Ste 500 West Orange NJ 07052-1023 | |
| (973) 736-1777 | |
| Not Available |
| Full Name | Stonegate Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 101 Old Short Hills Rd Ste 500, West Orange, New Jersey |
| Authorized Official Name and Position | Michael Chusid (OWNER) |
| Authorized Official Contact | 9737361777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stonegate Dental Llc 101 Old Short Hills Rd Ste 500 West Orange NJ 07052-1023 Ph: (973) 736-1777 | Stonegate Dental Llc 101 Old Short Hills Rd Ste 500 West Orange NJ 07052-1023 Ph: (973) 736-1777 |
| NPI Number | 1578199485 |
|---|---|
| Provider Enumeration Date | 03/23/2020 |
| Last Update Date | 03/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578199485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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