EASTERN DENTAL OF PASSAIC ESSEX, LLC

CLIFTON, NJ
NPI1902954001
Entity TypeOrganization
Authorized ContactBENEDICT ANTONECCHIA
Director
973-478-9300
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: NJ  11905)
Additional Taxonomies1223S0112X Dentist Oral and Maxillofacial Surgery
(Licence: NJ  10967)
Enumeration Date2007-01-08
Last Update Date2020-08-22
Business Address
EASTERN DENTAL OF PASSAIC ESSEX, LLC
251 CLIFTON AVE
CLIFTON, NJ 07011-1961
Phone number: 973-478-9300
Mailing Address
EASTERN DENTAL OF PASSAIC ESSEX, LLC
1030 SAINT GEORGES AVE
AVENEL, NJ 07001-1390
Phone number: