John A. Kush, D.M.D., LLC
Clinic/Center, Dental in Annandale, NJ. Organization (NPI-2).
NPI number1699257535
StatusActive
Last updated in NPPESSep 6, 2018
Details
- NPI
- 1699257535
- Entity type
- Organization (NPI-2)
- Legal business name
- John A. Kush, D.M.D., LLC
- Organization subpart
- No
- Enumeration date
- Sep 6, 2018
- Last updated
- Sep 6, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
1484 Highway 31Annandale, NJ 08801
Phone 908-730-0090
Mailing address
47 La Costa DrAnnandale, NJ 08801-1663
Phone 908-730-7119
Authorized official
John A. Kush
Owner/Dentist
9087300090
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