Palisades Park Dental P.C.
Dentist, Oral and Maxillofacial Surgery in Palisades Park, NJ. Organization (NPI-2).
NPI number1801370366
StatusActive
Last updated in NPPESSep 20, 2018
Details
- NPI
- 1801370366
- Entity type
- Organization (NPI-2)
- Legal business name
- Palisades Park Dental P.C.
- Organization subpart
- No
- Enumeration date
- Sep 20, 2018
- Last updated
- Sep 20, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | – | – | Yes |
Practice location
225 Broad Ave # 102Palisades Park, NJ 07650-1588
Phone 201-461-5580
Mailing address
225 Broad Ave # 102Palisades Park, NJ 07650-1588
Phone 201-461-5580
Authorized official
Myungsook Choi
Manager
2013212354
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