REVIVE DENTAL STUDIO LLC

RANDOLPH, NJ
NPI1356071617
Entity TypeOrganization
Authorized ContactAZADEH MAY DIANAT
Manager
404-578-4423
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist General Practice
Enumeration Date2022-06-10
Last Update Date2022-06-10
Business Address
REVIVE DENTAL STUDIO LLC
10 W HANOVER AVE STE 101
RANDOLPH, NJ 07869-4221
Phone number: 973-895-4333
Mailing Address
REVIVE DENTAL STUDIO LLC
178 N 11TH ST APT 7D
BROOKLYN, NY 11211-1134
Phone number: 404-578-4423
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