| Grace Dental Union City, Llc | |
|
3133 Central Ave Ste 204 Union City NJ 07087-2447 | |
| (201) 330-3333 | |
| Not Available |
| Full Name | Grace Dental Union City, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 3133 Central Ave Ste 204, Union City, New Jersey |
| Authorized Official Name and Position | Michael Lee (OWNER) |
| Authorized Official Contact | 9176865746 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Dental Union City, Llc 3133 Central Ave Ste 204 Union City NJ 07087-2447 Ph: () - | Grace Dental Union City, Llc 3133 Central Ave Ste 204 Union City NJ 07087-2447 Ph: (201) 330-3333 |
| NPI Number | 1609389816 |
|---|---|
| Provider Enumeration Date | 11/09/2017 |
| Last Update Date | 11/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609389816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 22DI02490600 (New Jersey) | Primary |
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