| Visiting Dental Pc | |
|
39 Wellesley Rd Glen Rock NJ 07452-1222 | |
| (201) 670-0097 | |
| (201) 445-0225 |
| Full Name | Visiting Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 39 Wellesley Rd, Glen Rock, New Jersey |
| Authorized Official Name and Position | Robin Schoenberg (OFFICE MANAGER) |
| Authorized Official Contact | 2016700097 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Visiting Dental Pc 39 Wellesley Rd Glen Rock NJ 07452-1222 Ph: (201) 670-0097 | Visiting Dental Pc 39 Wellesley Rd Glen Rock NJ 07452-1222 Ph: (201) 670-0097 |
| NPI Number | 1992993133 |
|---|---|
| Provider Enumeration Date | 10/12/2007 |
| Last Update Date | 10/15/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992993133 | NPI | - | NPPES |
| 6882803 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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