North Haledon Dental LLC
Dentist in North Haledon, NJ. Organization (NPI-2).
NPI number1780968693
StatusActive
Last updated in NPPESOct 11, 2011
Details
- NPI
- 1780968693
- Entity type
- Organization (NPI-2)
- Legal business name
- North Haledon Dental LLC
- Organization subpart
- No
- Enumeration date
- Oct 11, 2011
- Last updated
- Oct 11, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 14409 | NJ | Yes |
Practice location
909 Belmont AveNorth Haledon, NJ 07508-2574
Phone 973-304-1577
Mailing address
909 Belmont AveNorth Haledon, NJ 07508-2574
Phone 973-304-1577
Authorized official
Patrick E Ryan
Owner
9733041577
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