Paramus Park Mall Dental LLC
NPI #1164969325 in Paramus, New Jersey
Provider Information
- NPI Number
- 1164969325
- Entity Type
- Organization
- Organization Name
- Paramus Park Mall Dental LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 26, 2017
- Last Updated
- Jan 26, 2017
Practice Location
- Address
- 700 PARAMUS PARK
- Address 2
- SUITE 1615
- City
- Paramus
- State
- New Jersey
- ZIP Code
- 07652-3557
- Phone
- (201) 261-3444
Authorized Official
- Name
- IGOR LEVIN, DDS
- Title
- DENTIST
- Phone
- (516) 798-3444
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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