Liberty Corner Dental, LLC
Clinic/Center, Dental in Warren, NJ. Organization (NPI-2).
NPI number1609751007
StatusActive
Last updated in NPPESAug 6, 2025
Details
- NPI
- 1609751007
- Entity type
- Organization (NPI-2)
- Legal business name
- Liberty Corner Dental, LLC
- Organization subpart
- No
- Enumeration date
- Aug 6, 2025
- Certification date
- Aug 6, 2025
- Last updated
- Aug 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
152 Liberty Corner Rd Ste 101Warren, NJ 07059-6872
Phone 732-630-3979
Mailing address
152 Liberty Corner Rd Ste 101Warren, NJ 07059-6872
Phone 201-674-6675
Authorized official
Arash Baseri
Owner
2016746675
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