St Dental

NPI #1073779047 in Cliffside Park, New Jersey

Provider Information

NPI Number: 1073779047
Entity Type: Organization
Organization Name: St Dental
Primary Specialty: Dentist
Enumeration Date: Jul 30, 2008
Last Updated: Jul 30, 2008

Practice Location

Address: 596 ANDERSON AVE
Address 2: SUITE 305
City: Cliffside Park
State: New Jersey
ZIP Code: 07010-1831
Phone: (973) 479-3352

Authorized Official

Name: MS. LANA MARYASH
Title: OFFICE MGR
Phone: (973) 479-3352

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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