| Washington Pediatric Dentisry, Llc | |
|
197 S Washington Ave Bergenfield NJ 07621-2918 | |
| (201) 374-1686 | |
| Not Available |
| Full Name | Washington Pediatric Dentisry, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 197 S Washington Ave, Bergenfield, New Jersey |
| Authorized Official Name and Position | Wanyun Xue (PEDIATRIC DENTIST) |
| Authorized Official Contact | 2013741686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Washington Pediatric Dentisry, Llc 197 S Washington Ave Bergenfield NJ 07621-2918 Ph: () - | Washington Pediatric Dentisry, Llc 197 S Washington Ave Bergenfield NJ 07621-2918 Ph: (201) 374-1686 |
| NPI Number | 1841509742 |
|---|---|
| Provider Enumeration Date | 09/27/2010 |
| Last Update Date | 11/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841509742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 22DI02420400 (New Jersey) | Primary |
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