Palisades Dental Associates PC
Dentist, General Practice in Fort Lee, NJ. Organization (NPI-2).
NPI number1124247481
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1124247481
- Entity type
- Organization (NPI-2)
- Legal business name
- Palisades Dental Associates PC
- Organization subpart
- No
- Enumeration date
- Apr 25, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 17487 | NJ | Yes |
Practice location
1355 15th StSuite 230
Fort Lee, NJ 07024-2039
Phone 201-585-8585 · Fax 201-585-5032
Mailing address
1355 15th StSuite 230
Fort Lee, NJ 07024-2039
Phone 201-585-8585 · Fax 201-585-5032
Authorized official
Jeffrey Michael Brown
Vice President
2015858585
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