NPI | 1194322651 |
---|---|
Doing Business As | ADVANCED DENTAL OF JERSEY CITY LLC |
Doing Business As | MARSH COVE DENTAL |
Entity Type | Organization |
Authorized Contact | PETER TSAMBAZIS President 917-692-3160 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 1223P0300X Dentist, Periodontics |
Enumeration Date | 2020-10-07 |
Last Update Date | 2020-10-07 |