| Vis-a-dent, L.L.C. | |
|
1033 Clifton Avenue Suite # 108 Clifton NJ 07013 | |
| (201) 785-4146 | |
| (201) 836-6054 |
| Full Name | Vis-a-dent, L.L.C. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1033 Clifton Avenue, Clifton, New Jersey |
| Authorized Official Name and Position | Deborah Nachman-mangot (MANAGER) |
| Authorized Official Contact | 2017854146 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vis-a-dent, L.L.C. 1033 Clifton Avenue Suite 108 Clifton NJ 07013 Ph: (201) 785-4146 | Vis-a-dent, L.L.C. 1033 Clifton Avenue Suite # 108 Clifton NJ 07013 Ph: (201) 785-4146 |
| NPI Number | 1033353909 |
|---|---|
| Provider Enumeration Date | 04/23/2009 |
| Last Update Date | 04/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033353909 | NPI | - | NPPES |
| 6432409 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22DI01871000 (New Jersey) | Primary |
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