21ST AVE DENTAL LLC
Organization (NPI-2)
Active
Dentist
Provider Information
- NPI Number
1114203387- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 318 21ST AVE, PATERSON, NJ, 075013538
- Phone
- (973) 742-1991
Specialties & Taxonomies
Dentist
Primary License: NJ #14409