Orange Dental Group
Dentist, General Practice in East Orange, NJ. Organization (NPI-2).
NPI number1497909220
StatusActive
Last updated in NPPESNov 6, 2008
Details
- NPI
- 1497909220
- Entity type
- Organization (NPI-2)
- Legal business name
- Orange Dental Group
- Organization subpart
- No
- Enumeration date
- Nov 6, 2008
- Last updated
- Nov 6, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 23653 | NJ | Yes |
Practice location
85 S Harrison StSuite 103
East Orange, NJ 07018-1700
Phone 973-676-5310 · Fax 973-676-5350
Mailing address
85 S Harrison StSuite 103
East Orange, NJ 07018-1700
Phone 973-676-5310 · Fax 973-676-5350
Authorized official
Salvatore Pavone
President
9736765310
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