Yourdentalist LLC
Clinic/Center, Dental in Sea Girt, NJ. Organization (NPI-2).
NPI number1295414282
StatusActive
Last updated in NPPESJul 17, 2023
Details
- NPI
- 1295414282
- Entity type
- Organization (NPI-2)
- Legal business name
- Yourdentalist LLC
- Organization subpart
- No
- Enumeration date
- Jul 17, 2023
- Certification date
- Jul 11, 2023
- Last updated
- Jul 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Other names
- Yourdentalist LLC (Doing Business As)
Practice location
2164 Nj-35Building B
Sea Girt, NJ 08750
Phone 732-421-4371
Mailing address
1801 Wagon Wheel CtFreehold, NJ 07728-9117
Phone 732-421-4371
Authorized official
Syed Hasan Husaini
Ceo
7324214371
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