| NPI | 1134253008 |
|---|---|
| Former Legal Business Name | DOVER FAMILY DENTISTRY LLC |
| Entity Type | Organization |
| Authorized Contact | DARIA BAGAEVA Office Manager 973-361-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2019-12-04 |